Dr Anna Marie Little, MD | |
400 S Lewis Ln, Carbondale, IL 62901-3547 | |
(618) 519-9900 | |
Not Available |
Full Name | Dr Anna Marie Little |
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Gender | Female |
Speciality | Pediatrics |
Location | 400 S Lewis Ln, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982801742 | NPI | - | NPPES |
CF3444 | Other | IL | MEDICARE RR |
370966854024 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036129821 (Illinois) | Secondary |
208000000X | Pediatrics | 036129821 (Illinois) | Primary |
Entity Name | Shawnee Health Service And Development Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
Mailing Address | Practice Location Address |
---|---|
Dr Anna Marie Little, MD 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Dr Anna Marie Little, MD 400 S Lewis Ln, Carbondale, IL 62901-3547 Ph: (618) 519-9900 |
Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Poonam Thakore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549 | |
Dr. Amanda Jane Bleichner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Tamara Buckles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 |