Clayton Kirk, MD | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-6262 | |
(708) 216-3557 |
Full Name | Clayton Kirk |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 6 Years |
Location | 2160 S 1st Ave, Maywood, 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 |
---|---|---|---|
1174011761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 125.073543 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Valleywise Health Medical Center | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Retina Consultants Ltd | 4486547395 | 11 |
District Medical Group Inc | 7315086691 | 362 |
Entity Name | Associated Retina Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164633160 PECOS PAC ID: 4486547395 Enrollment ID: O20040607001002 |
Entity Name | District Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
Mailing Address | Practice Location Address |
---|---|
Clayton Kirk, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-6262 | Clayton Kirk, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-6262 |
Susanne Tidow-kebritchi, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, (9608 Roberts Rd, Hickory Hills, Il. 60457), Maywood, IL 60153 Phone: 708-233-5333 Fax: 708-233-5348 | |
Shuchi Bharat Patel, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-7960 Fax: 708-216-3557 | |
Christina Angeline Mamalis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
James Ford Mcdonnell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, (luh - No. Ent., Rm 2601), Maywood, IL 60153 Phone: 708-216-3408 Fax: 708-216-3557 | |
Nolan Jesse Adams, Ophthalmology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Mackenzie Marie Sward, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Loyola University Medical Center Dept Of Ophthalmology, Maywood, IL 60153 Phone: 320-219-0531 |