Edward Clay Travis, MD | |
900 N. Washington St, Du Quoin, IL 62832 | |
(618) 534-8538 | |
Not Available |
Full Name | Edward Clay Travis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 900 N. Washington St, Du Quoin, 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 |
---|---|---|---|
1801909700 | NPI | - | NPPES |
46473 | Other | IL | GHP INSURANCE NUMBER |
3932056 | Other | IL | BCBS OF IL |
029889 | Other | IL | HAMP INSURANCE NUMBER |
036086580 | Medicaid | IL | |
370661218401 | Medicaid | IL | |
7210895 | Other | IL | AETNA |
080129731 | Other | IL | RR MEDICARE NUMBER |
253437 | Other | IL | HEALTHLINK INSURANCE NUMB |
324151 | Other | IL | GHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036086580 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marshall Browning Hospital | Du quoin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marshall Browning Hospital Association | 9335049980 | 25 |
Entity Name | Marshall Browning Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821099441 PECOS PAC ID: 9335049980 Enrollment ID: O20040226000868 |
Mailing Address | Practice Location Address |
---|---|
Edward Clay Travis, MD 900 N. Washington St Po Box 192, Du Quoin, IL 62832 Ph: (618) 534-8538 | Edward Clay Travis, MD 900 N. Washington St, Du Quoin, IL 62832 Ph: (618) 534-8538 |
Dr. David E Gerdt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 N Washington St, Du Quoin, IL 62832 Phone: 618-542-2146 Fax: 618-542-4756 | |
Adam Jordan Henson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 N Washington Street, Du Quoin, IL 62832 Phone: 618-790-7401 | |
Benjamin T Rathert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 | |
Charelle Octavia Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 | |
Dr. Suzanne Burge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 | |
Darragh O'connor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 900 N Washington St, Du Quoin, IL 62832 Phone: 618-542-2146 | |
Carmen Krejci, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 119 Gas Plant Rd, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-724-2571 |