QUINCY MEDICAL GROUP
NPI 1790158087
Eyewear Supplier in Hannibal, MO
NPI Status: Active since November 09, 2015
- Organization
- Eyewear Supplier
- Accepts Insurance
- CLIA Number: 14D1013824
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 06-13-2026
About QUINCY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Quincy Medical Group, a provider established in Hannibal, Missouri operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1790158087 assigned on November 2015. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Quincy Medical Group. The authorized official of this NPI record is Patty Woerman (Credentialing Specialist)
- NPI
- 1790158087
- Provider Legal Name
- QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
- Other Organization Name
- QUINCY MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 175 SHINN LN HANNIBAL, MO 63401
- Location Phone
- (573) 231-3861
- Mailing Address
- 1025 MAINE ST QUINCY, IL 62301
- Mailing Phone
- (217) 222-6550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2015
- Last Update Date
- 02-10-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Elite Saver Plus - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1013824
- Facility Type
- Independent
- Certificate Effective Date
- June 14, 2024
- Certificate Expiration Date
- June 13, 2026
- Laboratory Director
- DR. RICHARD R. ANDERSON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Quincy Medical Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for QUINCY MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 5 | 8 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 5 | 16 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 5 + 1 + 6 + 0 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1790158087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861632226 | HANNIBAL REGIONAL HOSPITAL Organization | Optometrist | 175 SHINN LN HANNIBAL, MO 63401 (573) 406-5730 |
| 1417273749 | HANNIBAL REGIONAL HOSPITAL Organization | Eyewear Supplier | 175 SHINN LN HANNIBAL, MO 63401 (573) 406-5730 |
| 1104883560 | DR. KENT RANDALL WOLBER O.D. Individual | Optometrist | 175 SHINN LN HANNIBAL, MO 63401 (573) 406-5730 |
| 1962441220 | DR. MARSHALL VERNON MUNCH O.D. Individual | Optometrist | 175 SHINN LN HANNIBAL, MO 63401 (573) 248-0008 |
| 1356687412 | DR. ELIZABETH MARIE MONROE O.D. Individual | Optometrist | 175 SHINN LN HANNIBAL, MO 63401 (573) 248-0008 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790158087, enumerated in the NPI registry as an "organization" on November 09, 2015
The provider is located at 175 Shinn Ln Hannibal, Mo 63401 and the phone number is (573) 231-3861
This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D1013824 for a "independent" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 09, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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