Audrey Carmelita Durrant, MD | |
611 W Park St, Urbana, IL 61801-2529 | |
(217) 383-3311 | |
Not Available |
Full Name | Audrey Carmelita Durrant |
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Gender | Female |
Speciality | Surgery |
Location | 611 W Park St, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437304722 | NPI | - | NPPES |
103854500 | Medicaid | FL | |
3249054-02 | Medicaid | TX | |
V4Z99 | Other | FL | BLUE CROSS BLUE SHIELD |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
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Audrey Carmelita Durrant, MD 611 W. Park St, Fapc, Urbana, IL 61801-0001 Ph: () - | Audrey Carmelita Durrant, MD 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3311 |
Mahmoud Elrakhawy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-904-7000 | |
Conlan Joseph Pierce, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 W Park St, Urbana, IL 61801 Phone: 540-326-2910 | |
Brian Robert Beeman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Hvi, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7748 | |
Christian A Perez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, General Surgery, Urbana, IL 61801 Phone: 217-383-3240 Fax: 217-383-4597 | |
Yongsoo Kwon, Surgery Medicare: May Accept Medicare Assignments Practice Location: 1800 Glenwood Oaks Ct, Urbana, IL 61801 Phone: 217-337-5299 | |
Anant Singh Amar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Richard B Berlin, MD Surgery Medicare: Medicare Enrolled Practice Location: 602 W. University Avenue, General Surgery, Urbana, IL 61801 Phone: 217-383-3240 Fax: 217-383-4597 |