Charles Dobbin Connor, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Maryville, Illinois. He went to University Of Alabama School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Dermatology. His current practice location is
22 Professional Park Dr, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 288-0998.
Charles Dobbin Connor is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992763353.
Physician's Profile
| Full Name | Charles Dobbin Connor |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 43 Years |
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| Location | 22 Professional Park Dr, Maryville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Dobbin Connor attended and graduated from University Of Alabama School Of Medicine in 1981
NPI Data:
- NPI Number: 1992763353
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 12/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 4082803358
- Enrollment ID: I20110118001251
Medical Identifiers
Medical identifiers for Charles Dobbin Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992763353 | NPI | - | NPPES |
| 4233211 | Other | IL | AETNA |
| 06032047 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 127279 | Other | IL | GHP |
| 2119084 | Other | IL | AETNA MANAGED CARE |
| 5226143 | Other | IL | CCN |
| 1736541 | Other | IL | FIRST HEALTH |
| 0300073 | Other | IL | UNITEDHEATHCARE |
| 294801 | Other | IL | HEALTHLINK |
| 2644579 | Other | IL | CIGNA |
| G37507 | Other | IL | MERCY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | (Illinois) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Dobbin Connor allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Care Center Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619271939
PECOS PAC ID: 3173712445
Enrollment ID: O20110118001222 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Dobbin Connor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Dobbin Connor, MD
22 Professional Park Dr,
Maryville, IL 62062-5669
Ph: (618) 288-0998 | Charles Dobbin Connor, MD
22 Professional Park Dr,
Maryville, IL 62062-5669
Ph: (618) 288-0998 |
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