Craig T Davis, MD | |
405 W Jackson St, Carbondale, IL 62901-1467 | |
(618) 549-0721 | |
(618) 529-0479 |
Full Name | Craig T Davis |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 405 W Jackson St, Carbondale, 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 |
---|---|---|---|
1134201213 | NPI | - | NPPES |
5910517 | Medicaid | NC | |
P00354534 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-107008 (Illinois) | Secondary |
208M00000X | Hospitalist | 036-107008 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
24 On Physicians Pc | 5698688141 | 237 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346480431 PECOS PAC ID: 5698688141 Enrollment ID: O20090609000389 |
Mailing Address | Practice Location Address |
---|---|
Craig T Davis, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 | Craig T Davis, MD 405 W Jackson St, Carbondale, IL 62901-1467 Ph: (618) 549-0721 |
Vineet Kumar, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Dr. Vamsi Krishna Chilluru, M.B.B.S Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823 | |
Dr. Othniel Stephen Doolittle, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2250 N Illinois Ave, Carbondale, IL 62901 Phone: 618-833-1691 | |
Dr. Christopher James Hanson, M.D., M.B.A Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2250 Reed Station Pkwy Ste 305, Carbondale, IL 62901 Phone: 618-457-4999 Fax: 618-457-5099 | |
Andrew John Hossler, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 207 W Jackson St Ste 101, Carbondale, IL 62901 Phone: 618-457-6787 Fax: 618-351-4804 | |
Asikhame A Oikeh, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Pamela Renee Milano, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 305 W Jackson St, Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102 |