Dr Joseph M Welty, MD | |
102 S Hennepin Ave, Dixon, IL 61021 | |
(815) 288-7711 | |
(815) 285-8924 |
Full Name | Dr Joseph M Welty |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 42 Years |
Location | 102 S Hennepin Ave, Dixon, 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 |
---|---|---|---|
1861460586 | NPI | - | NPPES |
036068668 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-068668 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph M Welty, MD 102 S Hennepin Ave, Dixon, IL 61021-3083 Ph: (815) 288-7711 | Dr Joseph M Welty, MD 102 S Hennepin Ave, Dixon, IL 61021 Ph: (815) 288-7711 |
Maitri Mehta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Asad Jamal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 | |
Kirk Anthony Stewart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8520 | |
Jaclyn Pranita Parayao, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Tyrone Robert Brand, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 | |
Tyler Walsh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Dr. James Francis Gallant, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 |