| Gerio Primary Care Pc | |
|
291 E 2nd St Beckemeyer IL 62219-4202 | |
| (618) 484-9030 | |
| Not Available |
| Full Name | Gerio Primary Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 291 E 2nd St, Beckemeyer, Illinois |
| Authorized Official Name and Position | John A Flick (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6189773608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerio Primary Care Pc Po Box 127 Beckemeyer IL 62219-0127 Ph: (618) 484-9030 | Gerio Primary Care Pc 291 E 2nd St Beckemeyer IL 62219-4202 Ph: (618) 484-9030 |
| NPI Number | 1700578846 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 0749640969 |
|---|---|
| Medicare Enrollment ID | O20230720000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700578846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Faisal Lala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205965787 PECOS PAC ID: 9739280231 Enrollment ID: I20070727000684 |
| Provider Name | John A Flick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770782351 PECOS PAC ID: 9133314719 Enrollment ID: I20101109000442 |
| Provider Name | Peter Mauricio Arrazola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245473057 PECOS PAC ID: 5092964304 Enrollment ID: I20121002000337 |
| Provider Name | Angelia C Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700281342 PECOS PAC ID: 7810212958 Enrollment ID: I20150211001739 |
| Provider Name | Melissa L Siebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449968 PECOS PAC ID: 7618253717 Enrollment ID: I20170403002324 |
| Provider Name | Ali Albers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407380900 PECOS PAC ID: 0941571517 Enrollment ID: I20170801002274 |
| Provider Name | Amanda Kania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346730561 PECOS PAC ID: 1052666518 Enrollment ID: I20180625001846 |
| Provider Name | Amber M Pendegraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549613 PECOS PAC ID: 3678800315 Enrollment ID: I20190803000034 |
| Provider Name | Jennifer Guebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699365320 PECOS PAC ID: 5193139277 Enrollment ID: I20210201002211 |
| Provider Name | Danielle Lynn Frueh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013524487 PECOS PAC ID: 2668883257 Enrollment ID: I20211026001945 |
| Provider Name | Jennifer L Felchlia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114659703 PECOS PAC ID: 1850776956 Enrollment ID: I20220909001166 |
| Provider Name | Shelby Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679278352 PECOS PAC ID: 5698869956 Enrollment ID: I20230510001915 |
| Provider Name | Jodi Lynn Biggerstaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679347827 PECOS PAC ID: 4981053188 Enrollment ID: I20231213002967 |
| Provider Name | Jessica Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477337293 PECOS PAC ID: 3577005297 Enrollment ID: I20240610003535 |
| Provider Name | Kimberly Dawn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881433233 PECOS PAC ID: 8325580822 Enrollment ID: I20240612002164 |
| Provider Name | Yuliya T Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699422683 PECOS PAC ID: 2860879954 Enrollment ID: I20240802001119 |