Dr Eghe Egiebor, MD | |
1418 College Dr, Mount Carmel, IL 62863-2638 | |
(618) 263-6302 | |
Not Available |
Full Name | Dr Eghe Egiebor |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 32 Years |
Location | 1418 College Dr, Mount Carmel, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356328504 | NPI | - | NPPES |
000000225575 | Other | IN | BLUE SHIELD |
000000240785 | Other | IN | BLUE SHIELD |
200244860 | Medicaid | IN | |
3932056 | Other | IL | BLUE SHIELD |
000000207079 | Other | IN | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036112265 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Woodlawn Hospital | Rochester, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Statera Health Care Llc | 0244565729 | 26 |
Entity Name | Emergency Medical Specialist Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265481030 PECOS PAC ID: 2062301567 Enrollment ID: O20040312000740 |
Entity Name | Iroquois Memorial Hospital And Resident Home |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629003470 PECOS PAC ID: 4385551258 Enrollment ID: O20040517000306 |
Entity Name | Statera Health Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
Entity Name | Alliance Medical Partners, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194357954 PECOS PAC ID: 1456781400 Enrollment ID: O20200415002624 |
Mailing Address | Practice Location Address |
---|---|
Dr Eghe Egiebor, MD Po Box 68052, Indianapolis, IN 46268-0052 Ph: () - | Dr Eghe Egiebor, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 263-6302 |
Dr. Kamatchi Ondiveerappan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-263-6302 | |
Dr. John S Barbee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-263-6302 |