| Michael J Sammarco, MD | |
|
180 S Main St, Canton, IL 61520-2608 | |
| (309) 647-0201 | |
| (309) 649-6880 |
| Full Name | Michael J Sammarco |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 180 S Main St, Canton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609878420 | NPI | - | NPPES |
| 104773 | Other | MI | GLHP |
| 4503385 | Medicaid | MI | |
| 5885 | Other | MI | HPM |
| 03621 | Other | MI | PHC |
| 1604601321 | Other | MI | BCBS MI |
| 4057483 | Other | MI | AETNA |
| 000000356510 | Other | ANTHEM | |
| 116023 | Other | MI | CARE CHOICES |
| 116023 | Other | MI | PREFERRED CHOICES |
| 160059932 | Other | MI | RRMC |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Sammarco, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Michael J Sammarco, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
Alyssa Crawford, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 | |
Erin Kathleen Buckley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8951 |