| Peter B Malench, MD | |
|
10 Professional Park Dr, Maryville, IL 62062-5672 | |
| (618) 288-7244 | |
| Not Available |
| Full Name | Peter B Malench |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 10 Professional Park Dr, Maryville, 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 |
|---|---|---|---|
| 1760465165 | NPI | - | NPPES |
| 03089542 | Medicaid | IL | |
| 204900500 | Medicaid | MO | |
| 036089542 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03689542 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 036089542 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Desoto Memorial Hospital | Arcadia, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Small Hospital Innovations Llc | 0840415444 | 52 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
| Entity Name | Global Physician Network Llc Series Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821518028 PECOS PAC ID: 7012282775 Enrollment ID: O20171005000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter B Malench, MD 10 Professional Park Dr, Maryville, IL 62062-5672 Ph: (618) 288-7244 | Peter B Malench, MD 10 Professional Park Dr, Maryville, IL 62062-5672 Ph: (618) 288-7244 |
Jason E Barnett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 120, Maryville, IL 62062 Phone: 618-288-0044 Fax: 618-288-0066 | |
Dr. Kathryn Followell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 204, Maryville, IL 62062 Phone: 618-288-6464 Fax: 618-288-6465 | |
Dr. Norah Claire Farley Baker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Professional Park Dr., Maryville, IL 62062 Phone: 618-288-7244 Fax: 618-288-1980 | |
Dr. Dean Schueler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20b Professional Park Dr, Maryville, IL 62062 Phone: 618-288-1480 Fax: 618-288-2407 | |
Sophia Rostovtseva, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Ste 120, Maryville, IL 62062 Phone: 618-288-0044 Fax: 618-288-0066 | |
Justin Bradley Hill, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2090 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-5430 Fax: 618-288-6857 | |
Dr. Haresh K Motwani, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite # 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 |