| Patricia Teschke, MD | |
|
2227 Vadalabene Dr Ste 300, Maryville, IL 62062-5824 | |
| (618) 391-5320 | |
| (618) 391-5321 |
| Full Name | Patricia Teschke |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 2227 Vadalabene Dr Ste 300, Maryville, 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 |
|---|---|---|---|
| 1790045417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD-45762 (Iowa) | Secondary |
| 208600000X | Surgery | 036151663 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Medical Group Llc | 5193792018 | 118 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| 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 |
|---|---|
| Patricia Teschke, MD 6810 State Route 162, Box 215, Maryville, IL 62062 Ph: (618) 391-6495 | Patricia Teschke, MD 2227 Vadalabene Dr Ste 300, Maryville, IL 62062-5824 Ph: (618) 391-5320 |
Dr. Richard Henry Wikiera, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 | |
Charles A. Lane, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-3647 | |
Dr. Morris A Kugler, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2227 Vadalabene Dr, Ste 300, Maryville, IL 62062 Phone: 618-288-7485 Fax: 618-288-9086 | |
Scott Wong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 | |
Dr. Pei Chang Chung, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 | |
Dr. Daniel Steven Johnson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6810 State Route 162 Ste 100, Maryville, IL 62062 Phone: 618-288-3616 Fax: 618-288-3647 |