Dr Deedra Gail Mclain, MD | |
300 W Oak St, Carbondale, IL 62901-1400 | |
(618) 536-6621 | |
Not Available |
Full Name | Dr Deedra Gail Mclain |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 300 W Oak St, Carbondale, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770635062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036107216 (Illinois) | Secondary |
208D00000X | General Practice | 036107216 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Hospital Services | 2961310966 | 15 |
Board Of Trustees Of Southern Illinois University | 4486667888 | 96 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Southern Illinois Hospital Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528158573 PECOS PAC ID: 2961310966 Enrollment ID: O20031211000718 |
Entity Name | Premise Health Of Illinois Medical, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
Entity Name | Board Of Trustees Of Southern Illinois University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Mailing Address | Practice Location Address |
---|---|
Dr Deedra Gail Mclain, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-3787 | Dr Deedra Gail Mclain, MD 300 W Oak St, Carbondale, IL 62901-1400 Ph: (618) 536-6621 |
Dr. Erhime T Badejo, M.D MSN General Practice Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 200, Carbondale Family Medicine, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102 |