Carol M Bauer, MD | |
301 N 8th St, Springfield, IL 62701-1041 | |
(217) 545-6099 | |
(217) 545-0253 |
Full Name | Carol M Bauer |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Location | 301 N 8th 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 |
---|---|---|---|
1700871571 | NPI | - | NPPES |
036091175 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036091175 (Illinois) | Primary |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Mailing Address | Practice Location Address |
---|---|
Carol M Bauer, MD 720 N Bond St, Po Box 19639, Springfield, IL 62794 Ph: (217) 545-8000 | Carol M Bauer, MD 301 N 8th St, Springfield, IL 62701-1041 Ph: (217) 545-6099 |
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 |