| Spencer Evan Threw, DO | |
|
1001 Heather Dr, Mahomet, IL 61853-2754 | |
| (217) 586-8400 | |
| Not Available |
| Full Name | Spencer Evan Threw |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 1001 Heather Dr, Mahomet, 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 |
|---|---|---|---|
| 1548795222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036178174 (Illinois) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 036178174 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| St Anthonys Hospital | Saint petersburg, FL | Hospital |
| Palms Of Pasadena Hospital | Saint petersburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affiliated Health Clinics | 6305129693 | 4 |
| Entity Name | Affiliated Health Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831632900 PECOS PAC ID: 6305129693 Enrollment ID: O20170210002282 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Evan Threw, DO 306 Beringer Cir, Urbana, IL 61802-2276 Ph: (727) 322-4227 | Spencer Evan Threw, DO 1001 Heather Dr, Mahomet, IL 61853-2754 Ph: (217) 586-8400 |
Katherine Loutrel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Heather Dr, Mahomet, IL 61853 Phone: 217-586-8400 | |
Dawn C Brunner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Commercial Dr, Mahomet, IL 61853 Phone: 217-586-6600 Fax: 217-366-5358 | |
Dr. Randall A Megeff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Heather Drive, Mahomet, IL 61853 Phone: 217-586-8400 Fax: 217-586-5093 | |
Dr. Christopher D Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Heather Drive, Mahomet, IL 61853 Phone: 217-586-8400 Fax: 217-586-5093 | |
Dr. Charles R. Buchanan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1001 Commercial Dr, Mahomet, IL 61853 Phone: 217-586-6600 | |
Dr. Carla Denise Samuel-parks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Commercial Dr, Mahomet, IL 61853 Phone: 217-586-6600 Fax: 217-366-6106 | |
Dr. Onachukwu G Osaji, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Commercial Dr, Mahomet, IL 61853 Phone: 217-366-6104 Fax: 217-366-6106 |