Daniel M Hallam, MD | |
1600 W Walnut St, Jacksonville, IL 62650-1136 | |
(217) 528-7541 | |
(217) 528-7541 |
Full Name | Daniel M Hallam |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 20 Years |
Location | 1600 W Walnut St, Jacksonville, 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 |
---|---|---|---|
1548479751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 036125699 (Illinois) | Secondary |
208600000X | Surgery | 036125699 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carlinville Area Hospital | Carlinville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Carlinville Area Hospital Association | 9032021373 | 20 |
Entity Name | Carlinville Area Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932275641 PECOS PAC ID: 9032021373 Enrollment ID: O20031104000520 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Daniel M Hallam, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Daniel M Hallam, MD 1600 W Walnut St, Jacksonville, IL 62650-1136 Ph: (217) 528-7541 |
Abigail S White, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. Ladonna J Bryan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Passavant Surgical Associates, Jacksonville, IL 62650 Phone: 217-479-5821 Fax: 217-243-7406 | |
Michael Niel Fenner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. Charles Milton Sheaff, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 W Walnut St, East Wing 2nd Floor, Jacksonville, IL 62650 Phone: 217-479-5821 Fax: 217-243-7406 |