Brette Camerann Harding, MD | |
720 N Bond St, Springfield, IL 62702-4952 | |
(217) 545-8000 | |
(217) 545-0253 |
Full Name | Brette Camerann Harding |
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Gender | Female |
Speciality | Otolaryngology |
Location | 720 N Bond St, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346760105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2017019818 (Missouri) | Secondary |
207Y00000X | Otolaryngology | 036.165831 (Illinois) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
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Brette Camerann Harding, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000 | Brette Camerann Harding, MD 720 N Bond St, Springfield, IL 62702-4952 Ph: (217) 545-8000 |
Neelam Prakash Phalke, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 | |
Sophia Matos, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 | |
Sara M. Wing, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 301 N 8th St Ste 5b, Springfield, IL 62701 Phone: 217-545-8000 | |
Julliette Tekla Lucas, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-6544 | |
Dana Lynn Crosby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Suite Pav5b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-0253 | |
Cindy Margaret Moore, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 720 N Bond St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-0253 | |
Leonard P Rybak, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7781 |