Dr Kurt Martin, MD | |
2601 W Main St, Carbondale, IL 62901-1031 | |
(618) 549-5361 | |
(618) 351-4878 |
Full Name | Dr Kurt Martin |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 33 Years |
Location | 2601 W Main St, Carbondale, 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 |
---|---|---|---|
1164535365 | NPI | - | NPPES |
49676 | Other | IL | GHP INS. NUMBER |
324139 | Other | IL | GHP |
370012538 | Other | IL | RR MEDICARE NUMBER |
3932056 | Other | IL | BCBS OF IL |
7210895 | Other | IL | AETNA |
027530 | Other | IL | HAMP INSURANCE LNUMBER |
279844 | Other | IL | HEALTHLINK INS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-093490 (Illinois) | Secondary |
208000000X | Pediatrics | 036-093490 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Marshall Browning Hospital | Du quoin, IL | Hospital |
Heartland Regional Medical Center | Marion, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Kurt Martin, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Kurt Martin, MD 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Poonam Thakore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549 | |
Dr. Amanda Jane Bleichner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Tamara Buckles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 |