| Michael E Mulligan, MD | |
|
3 Junction Dr W, Glen Carbon, IL 62034-2916 | |
| (618) 288-5088 | |
| Not Available |
| Full Name | Michael E Mulligan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 3 Junction Dr W, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417953316 | NPI | - | NPPES |
| 102922 | Other | HEALTHLINK | |
| 4622029 | Other | IL | ADMINISTAR |
| 6015373 | Other | IL | BCBS |
| 036078712 | Medicaid | IL | |
| 080021119 | Other | IL | RR MEDICARE |
| 4322029 | Other | UNITED HEALTHCARE | |
| N4862 | Other | GROUP HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036078912 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Medical Group Llc | 5193792018 | 118 |
| Entity Name | Anderson Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Mulligan, MD 3 Junction Dr W, Glen Carbon, IL 62034-2916 Ph: (618) 288-5088 | Michael E Mulligan, MD 3 Junction Dr W, Glen Carbon, IL 62034-2916 Ph: (618) 288-5088 |
Kenneth Max Eakin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 Fax: 618-288-9153 | |
Raymond K Weber, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 |