Bethany Briggs, DO | |
3105 Fields South Dr, Champaign, IL 61822-3743 | |
(217) 383-3240 | |
Not Available |
Full Name | Bethany Briggs |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 3105 Fields South Dr, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407202450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | H0094653 (Maryland) | Secondary |
208600000X | Surgery | 036167517 (Illinois) | Primary |
Entity Name | St Paul Place Specialists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
Mailing Address | Practice Location Address |
---|---|
Bethany Briggs, DO 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Bethany Briggs, DO 3105 Fields South Dr, Champaign, IL 61822-3743 Ph: (217) 383-3240 |
Donna L Decamara, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1702 S Mattis Ave, Champaign, IL 61821 Phone: 217-326-2000 | |
Dr. Harry Reed Thompson Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 413 E University Ave, Champaign, IL 61820 Phone: 217-359-9601 Fax: 217-359-9609 | |
Dr. Paul Wetstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 | |
Dr. Nirmal Gokarn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1228 Fax: 718-798-0730 | |
Mattie Arseneaux, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 | |
Daniel Suarez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-902-2100 |