Benjamin Ellison Collie, MD | |
2601 W Main St, Carbondale, IL 62901-1031 | |
(618) 549-5361 | |
(618) 351-4878 |
Full Name | Benjamin Ellison Collie |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 11 Years |
Location | 2601 W Main St, Carbondale, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689029654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 036153349 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036153349 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Marshall Browning Hospital | Du quoin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Ellison Collie, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Benjamin Ellison Collie, MD 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Melissa Andrea Martinez Mateo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Stuart Kent Lankford, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823 | |
Dr. Anil N Parikh, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Nathaniel Clark, P.A. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Is-haq Malik, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Arslan Mirza, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Motaz R Wraikat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |