| Alexander Family Practice | |
|
1009 W Main St Marion IL 62959-1841 | |
| (186) 992-3272 | |
| Not Available |
| Full Name | Alexander Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1009 W Main St, Marion, Illinois |
| Authorized Official Name and Position | Jennifer L Alexander (OWNER) |
| Authorized Official Contact | 6189923272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Family Practice 2101 N America Rd Galatia IL 62935-2579 Ph: (618) 992-3272 | Alexander Family Practice 1009 W Main St Marion IL 62959-1841 Ph: (186) 992-3272 |
| NPI Number | 1265251334 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 02/16/2025 |
| Certification Date | 02/16/2025 |
| Medicare PECOS PAC ID | 6204364201 |
|---|---|
| Medicare Enrollment ID | O20250103001441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265251334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | James O Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114094851 PECOS PAC ID: 8820130255 Enrollment ID: I20100125000060 |
| Provider Name | Jennifer L Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235215633 PECOS PAC ID: 9739343815 Enrollment ID: I20120621000496 |
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