| Michael Nels Kirk, MD | |
|
1000 Eleven S Ste 4a, Columbia, IL 62236-1077 | |
| (618) 206-6120 | |
| Not Available |
| Full Name | Michael Nels Kirk |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1000 Eleven S Ste 4a, Columbia, 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 |
|---|---|---|---|
| 1922179175 | NPI | - | NPPES |
| P00429606 | Other | MEDICARE RR | |
| 036091649 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036091649 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Red Bud Regional Home Care | Red bud, IL | Home health agency |
| Amedisys Home Health | O fallon, IL | Home health agency |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Mercy Hospital South | Saint louis, MO | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20150929002491 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Nels Kirk, MD Po Box 955534 Suite 103, Saint Louis, MO 63195-0001 Ph: () - | Michael Nels Kirk, MD 1000 Eleven S Ste 4a, Columbia, IL 62236-1077 Ph: (618) 206-6120 |
Carrie A Daigle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1019 Valmeyer Rd, Columbia, IL 62236 Phone: 618-205-7170 Fax: 618-205-7171 | |
Kelly Ann Wood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Columbia Ctr, Columbia, IL 62236 Phone: 618-791-2011 Fax: 618-417-6046 | |
Dr. Sean David Lattimore, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S Ste 4a, Columbia, IL 62236 Phone: 618-206-6120 |