| Dr Ladonna J Bryan, MD | |
|
1600 W Walnut St, Passavant Surgical Associates, Jacksonville, IL 62650-1136 | |
| (217) 479-5821 | |
| (217) 243-7406 |
| Full Name | Dr Ladonna J Bryan |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 1600 W Walnut St, Jacksonville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508975285 | NPI | - | NPPES |
| 036111023 1 | Medicaid | IL | |
| 036111023 2 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ladonna J Bryan, MD 1600 W Walnut St, Passavant Surgical Associates, Jacksonville, IL 62650-1136 Ph: (217) 479-5821 | Dr Ladonna J Bryan, MD 1600 W Walnut St, Passavant Surgical Associates, Jacksonville, IL 62650-1136 Ph: (217) 479-5821 |
Abigail S White, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Daniel M Hallam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-528-7541 | |
Michael Niel Fenner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. Charles Milton Sheaff, MD Surgery Medicare: Medicare Enrolled Practice Location: 1600 W Walnut St, East Wing 2nd Floor, Jacksonville, IL 62650 Phone: 217-479-5821 Fax: 217-243-7406 |