Dr Benjamin P Davis, MD | |
611 W. Park Street, Emergency Medicine, Urbana, IL 61801 | |
(217) 383-4930 | |
(217) 383-4014 |
Full Name | Dr Benjamin P Davis |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 611 W. Park Street, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295760338 | NPI | - | NPPES |
036-115760 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036115760 (Illinois) | Primary |
Entity Name | Richland Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin P Davis, MD P.o. Box 6002, Urbana, IL 61803-6002 Ph: (217) 326-8300 | Dr Benjamin P Davis, MD 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Ph: (217) 383-4930 |
Dr. Carlos Enrique Brown Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Dr. Imran Khan, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 | |
Brendan Mcevoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3285 | |
Michael F Hegarty, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-4930 Fax: 217-383-4014 | |
Lars Grant, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Emergency Department, Urbana, IL 61801 Phone: 217-337-2131 | |
Philip Disalvo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 | |
Dr. G. Michael M Swindle, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-3311 |