| Effingham Obstetrics And Gynecology Associates Pllc | |
|
912 N Henrietta St Effingham IL 62401 | |
| (217) 342-3337 | |
| (217) 347-3328 |
| Full Name | Effingham Obstetrics And Gynecology Associates Pllc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 912 N Henrietta St, Effingham, Illinois |
| Authorized Official Name and Position | Kelly Hunt Haller (MEMBER) |
| Authorized Official Contact | 2173423337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Effingham Obstetrics And Gynecology Associates Pllc Po Box 784 Effingham IL 62401-0784 Ph: (217) 342-3337 | Effingham Obstetrics And Gynecology Associates Pllc 912 N Henrietta St Effingham IL 62401 Ph: (217) 342-3337 |
| NPI Number | 1649677063 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 2961726021 |
|---|---|
| Medicare Enrollment ID | O20150306001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649677063 | NPI | - | NPPES |
| 371326540002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
| Provider Name | Dawn M Mcdaid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841373156 PECOS PAC ID: 1355321688 Enrollment ID: I20071211000390 |
| Provider Name | Kelly H Haller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871589382 PECOS PAC ID: 0446159354 Enrollment ID: I20101023000260 |
| Provider Name | Jennifer Dust |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255537197 PECOS PAC ID: 9931370418 Enrollment ID: I20110913000443 |
| Provider Name | Abbie Cristine Massengill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396129243 PECOS PAC ID: 9830425735 Enrollment ID: I20190731000264 |
| Provider Name | Mary Jo Bierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588273916 PECOS PAC ID: 7416375795 Enrollment ID: I20200918000697 |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Temple Ave Ste 208, Effingham, IL 62401 Phone: 217-342-0211 Fax: 217-342-0232 | |
Paul D. Oltman, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Temple Ave, Suite 204, Effingham, IL 62401 Phone: 217-347-7776 Fax: 217-347-7526 | |
Baggett Chiropractic Care, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Fayette Ave, Effingham, IL 62401 Phone: 217-342-9700 Fax: 217-342-9710 | |
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 217-347-1211 | |
Csc Companies Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Banker St Ste C, Effingham, IL 62401 Phone: 217-347-2229 | |
Springfield Clinic Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-342-4190 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 W Temple Ave Ste 1500, Effingham, IL 62401 Phone: 217-347-0458 Fax: 217-342-2992 |