Charles D Washington, MD | |
5666 East State St, Rockford, IL 61108-2472 | |
(815) 226-2000 | |
(815) 381-7582 |
Full Name | Charles D Washington |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 5666 East State St, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124058599 | NPI | - | NPPES |
36109776 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 53840-20 (Wisconsin) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 036109776 (Illinois) | Primary |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Entity Name | Waupun Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548248644 PECOS PAC ID: 7618886565 Enrollment ID: O20040217000786 |
Entity Name | Madison Emergency Physicians Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
Mailing Address | Practice Location Address |
---|---|
Charles D Washington, MD 5666 East State St, Rockford, IL 61108-2472 Ph: (815) 226-2000 | Charles D Washington, MD 5666 East State St, Rockford, IL 61108-2472 Ph: (815) 226-2000 |
Christopher M. Nielsen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 Fax: 608-826-2710 | |
Waleed Mansour, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Todd H. Chaffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Faizan Shakeel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Emergency Dept, Rockford, IL 61108 Phone: 815-226-2000 | |
Dr. Meredith Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066 | |
Dr. Timothy P Coggin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 |