Peter J Anderson, MD | |
4802 S State Route 159, Glen Carbon, IL 62034-1904 | |
(618) 288-4388 | |
(618) 288-4927 |
Full Name | Peter J Anderson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 39 Years |
Location | 4802 S State Route 159, Glen Carbon, 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 |
---|---|---|---|
1548245848 | NPI | - | NPPES |
036079727 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036079727 (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 | 120 |
Ahs Il Medical Group Llc | 5496111676 | 9 |
Rehabilitation Professionals Inc | 8224923800 | 169 |
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 |
Entity Name | Granite City Orthopedic Physicians Company, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508810920 PECOS PAC ID: 0143268201 Enrollment ID: O20050419001296 |
Entity Name | Heartland Rural Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275166134 PECOS PAC ID: 3072513043 Enrollment ID: O20061226000075 |
Entity Name | Ahs Il Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
Mailing Address | Practice Location Address |
---|---|
Peter J Anderson, MD 4802 S State Route 159, Glen Carbon, IL 62034-1904 Ph: (618) 288-4388 | Peter J Anderson, MD 4802 S State Route 159, Glen Carbon, IL 62034-1904 Ph: (618) 288-4388 |
Timothy J Penn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
James Sola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
Craig A Beyer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 | |
Dr. David Shiyu Zhu, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 | |
Paul J Scherer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-4388 Fax: 618-288-4927 |