MEDICARE: DR. ANDREW MICHAEL BRITT D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	036.109965	IL
2	207P00000X	Emergency Medicine Physician	036109965	IL
3	207Q00000X	Family Medicine Physician	036.109965	IL
4	207P00000X	Emergency Medicine Physician	C1936	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	206679	OTHER	IL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033115043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW MICHAEL BRITT D.O

Provider Business Mailing Address
First Line	:	503A N 1ST ST
Second Line	:
City	:	FAIRFIELD
State	:	IL
Zip	:	62837-2443
Country	:	US
Telephone Number	:	618-842-2491
Fax Number	:	618-842-2497

Provider Business Practice Location Address
First Line	:	503A N 1ST ST
Second Line	:
City	:	FAIRFIELD
State	:	IL
Zip	:	62837-2443
Country	:	US
Telephone Number	:	618-842-2491
Fax Number	:	618-842-2497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	09/06/2024

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Directions to “ DR. ANDREW MICHAEL BRITT D.O” Practice Location

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