Michelle P Mulligan, MD | |
3 Junction Dr W, Glen Carbon, IL 62034-2916 | |
(618) 288-5088 | |
(618) 288-9153 |
Full Name | Michelle P Mulligan |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 38 Years |
Location | 3 Junction Dr W, Glen Carbon, 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 |
---|---|---|---|
1194721936 | NPI | - | NPPES |
0107339 | Other | UNITED HEALTHCARE | |
080021120 | Other | IL | RR MEDICARE |
4622029 | Other | IL | ADMINISTAR |
036081019 | Medicaid | IL | |
180420 | Other | HEALTHLINK | |
N8565 | Other | GROUP HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036081019 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Community Hospital Of Staunton | Staunton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 120 |
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 |
---|---|
Michelle P Mulligan, MD 3 Junction Dr W, Glen Carbon, IL 62034-2916 Ph: (618) 288-5088 | Michelle P Mulligan, MD 3 Junction Dr W, Glen Carbon, IL 62034-2916 Ph: (618) 288-5088 |
Kenneth Max Eakin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 Fax: 618-288-9153 | |
Michael E Mulligan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 | |
Gina Marie Vernace, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 | |
Raymond K Weber, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Junction Dr W, Glen Carbon, IL 62034 Phone: 618-288-5088 |