Douglas Dothager, MD | |
4600 Memorial Dr Ste 200, Belleville, IL 62226-5363 | |
(618) 233-2220 | |
(618) 233-2555 |
Full Name | Douglas Dothager |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 38 Years |
Location | 4600 Memorial Dr Ste 200, Belleville, 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 |
---|---|---|---|
1871599738 | NPI | - | NPPES |
036091795 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 036091795 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Alton Memorial Hospital | Alton, IL | Hospital |
Hshs Holy Family Hospital Inc | Greenville, IL | Hospital |
St Josephs Hospital | Breese, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Douglas Dothager, MD 4600 Memorial Dr, Ste. 120, Belleville, IL 62226-5368 Ph: (618) 233-2220 | Douglas Dothager, MD 4600 Memorial Dr Ste 200, Belleville, IL 62226-5363 Ph: (618) 233-2220 |
Dr. Dennis P Larson, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502 | |
Kathleen K Fournier, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Eldon Trame, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475 | |
Anand P. Patel, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Eduardo Martinez-barrios, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4600 Memorial Dr, Suite 120, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Kashif Shahzad Bhutto, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Dr. David Nelson Pfohl, MD, FACP, GAQ Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518 |