Mary O Wunderlich
RED BUD ILLINOIS HOSPITAL COMPANY LLC


Address: 325 Spring St, Red Bud, IL 62278-1105
Phone: 6182823831

Mary O Wunderlich (NPI# 1477856979, PAC ID# 4587847108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1477856979
PAC ID by PECOS 4587847108
Professional Enrollment ID I20110319000079
Full Name Mary O Wunderlich
Organization Legal Name RED BUD ILLINOIS HOSPITAL COMPANY LLC
Address 325 Spring St
Red Bud
IL 62278-1105
Phone Number 6182823831
Gender F
Graduation Year 1986
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2466416821
Number of Group Practice Members 13
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
141348 RED BUD REGIONAL HOSPITAL
141338 MEMORIAL HOSPITAL
141349 SPARTA COMMUNITY HOSPITAL
140125 GATEWAY REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
325 Spring St, Red Bud, IL 62278-1105 6182823831 RED BUD ILLINOIS HOSPITAL COMPANY LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 93%
MIPS_EC_331_overall Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) 87%
MIPS_EC_333_overall Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) 0%

Organization Information

Organization Legal Name RED BUD ILLINOIS HOSPITAL COMPANY LLC
Physicians 13

Physicians with the same organization

Name Specialty Organization Address
Amber L Harriman Physician Assistant Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Amy L Rohlfing Geriatric Medicine Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Tracy M Hasler Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Armida A Hidalgo Family Medicine Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Jessica L Sheehan Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Mallory A Butler Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Margret De Guzman General Surgery Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Danielle A Turner Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Ziya Baghmanli General Surgery Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Susan Tuttle Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105

Office Location

Street Address 325 SPRING ST
City RED BUD
State IL
Zip 62278-1105

Physicians in the same location

Name Specialty Organization Address
Amber L Harriman Physician Assistant Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Zia M Ahmad Cardiovascular Disease (cardiology) Bi-state Cardiovascular Consultant PC 325 Spring St, Suite 2, Red Bud, IL 62278-1105
John M Crowe Family Medicine Red Bud Physician Group LLC 325 Spring St, Red Bud, IL 62278-1105
Meher S Mallick Nephrology St Louis Nephrology Associates LLC 325 Spring St, Red Bud, IL 62278-1105
Rosanne L Sutter Family Medicine Red Bud Physician Group LLC 325 Spring St, Red Bud, IL 62278-1105
Victor P Hidalgo Family Medicine Red Bud Physician Group LLC 325 Spring St, Red Bud, IL 62278-1105
Amy L Rohlfing Geriatric Medicine Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Julie L Kelley Emergency Medicine Red Bud Physician Group LLC 325 Spring St, Red Bud, IL 62278-1105
Tracy M Hasler Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Alex R Labounty Family Medicine Red Bud Physician Group LLC 325 Spring St, Red Bud, IL 62278-1105
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jennifer R Dewilde Chiropractic 930 W Market St, Suite 1, Red Bud, IL 62278-1006
Quentin T Stenzel Chiropractic 204 W Market St, Red Bud, IL 62278-1029
Zaki H Chowdhury Emergency Medicine Red Bud Physician Group LLC 325 Spring St, Red Bud, IL 62278-1105
Armida A Hidalgo Family Medicine Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Jessica L Sheehan Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Mallory A Butler Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Margret De Guzman General Surgery Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Danielle A Turner Nurse Practitioner Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Ziya Baghmanli General Surgery Red Bud Illinois Hospital Company LLC 325 Spring St, Red Bud, IL 62278-1105
Ted G Van Acker Dermatology Southern Illinois Dermatology, PC 325 Spring St, Red Bud, IL 62278-1105
Find all physicians in zip 62278

Competitor

Search similar physicians

City RED BUD
Zip Code 62278
Specialty PHYSICIAN ASSISTANT
City + Specialty RED BUD + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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