Clay O Demattei I, MD | |
3402 Office Park Dr., Marion, IL 62959 | |
(618) 993-3221 | |
Not Available |
Full Name | Clay O Demattei I |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 43 Years |
Location | 3402 Office Park Dr., Marion, 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 |
---|---|---|---|
1881621910 | NPI | - | NPPES |
036072552 | Other | IL | STATE LICENSE NUMBER |
036072552 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036072552 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heartland Regional Medical Center | Marion, IL | Hospital |
Entity Name | Heartland Surgery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336172766 PECOS PAC ID: 7810991148 Enrollment ID: O20060829000315 |
Entity Name | Marion Diagnostic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366543084 PECOS PAC ID: 0749289833 Enrollment ID: O20061219000431 |
Mailing Address | Practice Location Address |
---|---|
Clay O Demattei I, MD 3402 Office Park Dr., Marion, IL 62959 Ph: (618) 993-3221 | Clay O Demattei I, MD 3402 Office Park Dr., Marion, IL 62959 Ph: (618) 993-3221 |
Dr. Rama R Iyengar, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Davood Sooriash, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. James V Robelen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3106 Outer Dr, Suite 100, Marion, IL 62959 Phone: 618-998-8346 Fax: 618-997-3942 | |
Dr. Charles Robert Voss, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 206 Dinah Ln, Marion, IL 62959 Phone: 618-997-3200 | |
Jose Veizaga Mendez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Mohammad Abdul Jabbar, MD Surgery Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5696 | |
Qiong Qiu, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7155 Fax: 618-998-7285 |