| Scott W Schwiesow, MD | |
|
1414 Cross Street, Suite 330, Shiloh, IL 62269-2998 | |
| (618) 277-7400 | |
| (618) 277-7422 |
| Full Name | Scott W Schwiesow |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1414 Cross Street, Shiloh, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164834024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 29484 (Nebraska) | Secondary |
| 208600000X | Surgery | 036164565 (Illinois) | Primary |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Entity Name | Lincoln Surgical Associates, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861706814 PECOS PAC ID: 9335320597 Enrollment ID: O20110221000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott W Schwiesow, MD 1414 Cross Street, Suite 330, Shiloh, IL 62269-2998 Ph: (618) 277-7400 | Scott W Schwiesow, MD 1414 Cross Street, Suite 330, Shiloh, IL 62269-2998 Ph: (618) 277-7400 |
Deirdre Hart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 330, Shiloh, IL 62269 Phone: 618-277-7400 | |
Dr. Paul E Loethen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Michael Norman Pulsipher, DO Surgery Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Dr. Thomas Vinh Luong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Douglas B Aach, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 | |
Dr. Matthew R Smith, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross Street, Suite 330, Shiloh, IL 62269 Phone: 618-277-7400 Fax: 618-277-7422 |