| Peter John Minich, MD | |
|
1025 Maine St, Quincy, IL 62301-4096 | |
| (217) 222-6550 | |
| Not Available |
| Full Name | Peter John Minich |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 1025 Maine St, Quincy, 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 |
|---|---|---|---|
| 1073886438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00037206 (Washington) | Secondary |
| 208800000X | Urology | 036103184 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Pike County Memorial Hospital | Louisiana, MO | Hospital |
| Illini Community Hospital | Pittsfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quincy Physicians And Surgeons Clinic, Pllc | 0749192375 | 208 |
| Pike County Memorial Hospital | 8123015518 | 29 |
| Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter John Minich, MD 1025 Maine St, Quincy, IL 62301-4096 Ph: (217) 222-6550 | Peter John Minich, MD 1025 Maine St, Quincy, IL 62301-4096 Ph: (217) 222-6550 |
Marvin I. Grote, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
M. Kazem Attai, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
William E. Dougherty, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 927 Broadway St, Suite 303, Quincy, IL 62301 Phone: 217-224-6423 Fax: 217-222-9807 | |
Matthew J Knudson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 |