Careyana M Brenham, MD | |
520 N 4th St, Springfield, IL 62702-5238 | |
(217) 757-8100 | |
(217) 757-8161 |
Full Name | Careyana M Brenham |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 520 N 4th 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 |
---|---|---|---|
1568451946 | NPI | - | NPPES |
036108158 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036108158 (Illinois) | Primary |
Entity Name | Board Of Trustees Of Southern Illinois University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Mailing Address | Practice Location Address |
---|---|
Careyana M Brenham, MD Po Box 19670, Springfield, IL 62794-9670 Ph: (217) 757-8100 | Careyana M Brenham, MD 520 N 4th St, Springfield, IL 62702-5238 Ph: (217) 757-8100 |
Dr. Kaitlin Delaney Henry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Mark T. Mckay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Dr. Jennifer E. Richards, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-793-9960 | |
Mrs. Lacey Dively Moy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 Fax: 217-588-7439 | |
Dr. Hari Iyengar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 | |
Dr. Jamie Wallman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701 Phone: 217-545-8000 | |
Janet R Albers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-8161 |