| Brian W Dossett Md Ltd | |
|
1029 N 8th St Vandalia IL 62471-1238 | |
| (618) 283-4469 | |
| (618) 283-4794 |
| Full Name | Brian W Dossett Md Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 1029 N 8th St, Vandalia, Illinois |
| Authorized Official Name and Position | Brian W Dossett (OWNER) |
| Authorized Official Contact | 6182834469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian W Dossett Md Ltd 1029 N 8th St Vandalia IL 62471-1238 Ph: (618) 283-4469 | Brian W Dossett Md Ltd 1029 N 8th St Vandalia IL 62471-1238 Ph: (618) 283-4469 |
| NPI Number | 1396861050 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 10/27/2010 |
| Medicare PECOS PAC ID | 4183784754 |
|---|---|
| Medicare Enrollment ID | O20081201000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396861050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0360797771 (Illinois) | Primary |
| Provider Name | Brian W Dossett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366490815 PECOS PAC ID: 4284794850 Enrollment ID: I20081201000144 |
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