| Mr Orie R Potter, PAC MPAS | |
|
1400 E Carroll, Macomb, IL 61455 | |
| (309) 833-2500 | |
| (309) 833-1760 |
| Full Name | Mr Orie R Potter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1400 E Carroll, Macomb, 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 |
|---|---|---|---|
| 1477514958 | NPI | - | NPPES |
| 371352599001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001876 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 085000614 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great River Medical Center | West burlington, IA | Hospital |
| Mercyone Clinton Medical Center | Clinton, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcdonough County Hospital District | 0446140180 | 35 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Orie R Potter, PAC MPAS Po Box 198, Oquawka, IL 61469-0198 Ph: (309) 867-2202 | Mr Orie R Potter, PAC MPAS 1400 E Carroll, Macomb, IL 61455 Ph: (309) 833-2500 |
Michelle M Bowen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 E Carroll St, Suite B, Macomb, IL 61455 Phone: 309-833-2500 Fax: 309-833-1760 | |
Mrs. Kathryn Coker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-836-1542 |