| Samuel Iran Vazquez, MD | |
|
1964 Patterson Dr, Galesburg, IL 61401-1434 | |
| (508) 334-1000 | |
| Not Available |
| Full Name | Samuel Iran Vazquez |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 Years |
| Location | 1964 Patterson Dr, Galesburg, 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 |
|---|---|---|---|
| 1811422132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 03666440 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Galesburg, IL | Hospital |
| Osf Holy Family Medical Center | Monmouth, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Iran Vazquez, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: () - | Samuel Iran Vazquez, MD 1964 Patterson Dr, Galesburg, IL 61401-1434 Ph: (508) 334-1000 |
Vijay K Arora, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 | |
Serge Peter Marinkovic, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405 | |
Thomas J Whittle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 | |
Mark Davis, M.D.,F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 834 N Seminary St, Suite 503, Galesburg, IL 61401 Phone: 309-343-7773 Fax: 309-343-3839 | |
Dr. Donald R Fisk, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 S Soangetaha Rd, Galesburg, IL 61401 Phone: 309-344-0858 | |
Beverly L Orwig, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 | |
Jerry E Mitchell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 |