| Peter M Muchendu, PA-C | |
|
324 Roxbury Rd, Rockford, IL 61107-5090 | |
| (815) 381-7431 | |
| (815) 381-7333 |
| Full Name | Peter M Muchendu |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 324 Roxbury Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336588284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085004808 (Illinois) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter M Muchendu, PA-C Po Box 78534, Milwaukee, WI 53278-0247 Ph: (815) 381-7431 | Peter M Muchendu, PA-C 324 Roxbury Rd, Rockford, IL 61107-5090 Ph: (815) 381-7431 |
Ellissa A Schwartz, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6830 Villagreen Vw, Rockford, IL 61107 Phone: 815-282-1339 Fax: 815-282-1298 |
Alexander Whitney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1055 Featherstone Rd Ste C, Rockford, IL 61107 Phone: 815-227-1055 Fax: 815-227-1006 |
Caron M Cook, P.A, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-3050 |
Veronica Newburn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E State St, Rockford, IL 61104 Phone: 815-201-1970 |
Mrs. Katie Michelle Rose, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 360, Rockford, IL 61107 Phone: 815-229-9333 |
Michael Murphy Weedman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 |
Gordon Eggers, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 |