Christopher Wilson Modert, DO | |
1 Doctors Park Rd Ste C, Mount Vernon, IL 62864-6251 | |
(618) 244-1234 | |
Not Available |
Full Name | Christopher Wilson Modert |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 1 Doctors Park Rd Ste C, Mount Vernon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477527604 | NPI | - | NPPES |
036079242 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036079242 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Crossroads Community Hospital | Mount vernon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Modert Family Practice Ltd | 3870669617 | 2 |
Entity Name | Modert Family Practice Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255311700 PECOS PAC ID: 3870669617 Enrollment ID: O20080903000018 |
Mailing Address | Practice Location Address |
---|---|
Christopher Wilson Modert, DO Po Box 802, Mount Vernon, IL 62864-0017 Ph: (618) 244-1234 | Christopher Wilson Modert, DO 1 Doctors Park Rd Ste C, Mount Vernon, IL 62864-6251 Ph: (618) 244-1234 |
Dr. Murke Franklin Harrison, DO LTD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2712 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-2000 Fax: 618-244-6625 | |
Dr. Charles W Neal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Esther Schulz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-899-1264 Fax: 618-241-4848 | |
Linden R Pearson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864 Phone: 618-244-6770 Fax: 618-244-6772 | |
Dr. Jacques Papazian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Dr. Kristen Jacobs, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 329 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-3370 |