| Maoxiim Tellez, MD | |
|
1 Centre Dr, Petersburg, IL 62675-9467 | |
| (217) 632-7761 | |
| (217) 632-0312 |
| Full Name | Maoxiim Tellez |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1 Centre Dr, Petersburg, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740311349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036117662 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Care Of Illinois | Springfield, IL | Hospice |
| Memorial Medical Center | Springfield, IL | Hospital |
| Sunny Acres Nursing Home | Petersburg, IL | Nursing home |
| Regency Care | Springfield, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Menard Medical Center, Llc | 2769547090 | 8 |
| Memorial Physician Services | 9032005681 | 155 |
| Entity Name | Memorial Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Maoxiim Tellez, MD Po Box 3428, Springfield, IL 62708-3428 Ph: (800) 577-5368 | Maoxiim Tellez, MD 1 Centre Dr, Petersburg, IL 62675-9467 Ph: (217) 632-7761 |
Joe A Bilyeu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0315 | |
Dr. David D Newton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 | |
Ben Hauter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 213 N 5th St, Petersburg, IL 62675 Phone: 217-393-8203 Fax: 217-236-0500 | |
Dr. Amanda L. Meeks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 |