| Michael R Mustard, MD | |
|
1005 Broadway St, Quincy, IL 62301-2834 | |
| (217) 223-8400 | |
| (217) 214-5837 |
| Full Name | Michael R Mustard |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1005 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295826675 | NPI | - | NPPES |
| 5911855 | Medicaid | NC | |
| 2009038317 | Medicaid | MO | |
| 036115033 | Medicaid | IL |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Mustard, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Michael R Mustard, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 |
Jonathan Wilford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 927 Broadway St, Suite 121, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-277-5960 |
Taylor J. Moore, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 |
Dr. Emmanuel Ifeanyichukwu Ohaa, MBCHB, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 |
Dana B Altman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 |
Jason Chak Sham Hui, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |
Javier Andres Viteri Quincha, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 612 N 11th St, Quincy, IL 62301 Phone: 217-224-9484 |
Timothy W. Jacobs, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 |