Dr Linda Alic, MD | |
350 Dover Ln, Roanoke, TX 76262-1149 | |
(815) 353-3900 | |
Not Available |
Full Name | Dr Linda Alic |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 350 Dover Ln, Roanoke, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235197161 | NPI | - | NPPES |
036066189 | Other | IL | STATE LICENSE |
69385-20 | Other | WI | STATE WISCONSIN |
G173929 | Other | CA | STATE LICENSE |
MD46488 | Other | IA | STATE LICENSE |
64406. | Other | TN | STATE LICENSE |
D0090539 | Other | MD | STATE LICENSE |
62578 | Other | AZ | STATE LICENSE |
EM0001017 | Other | MI | STATE LICENSE |
MD187493 | Other | OR | STATE LICENSE |
328328 | Other | LA | STATE LICENSE |
MD86840 | Other | SC | STATE LICENSE |
88833 | Other | GA | STATE LICENSE |
CDR0000420 | Other | CO | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036066189 (Illinois) | Primary |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Hospitalist Physicians Medical Group Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275395097 PECOS PAC ID: 3274895792 Enrollment ID: O20180321002655 |
Mailing Address | Practice Location Address |
---|---|
Dr Linda Alic, MD 101 Mission St Ste 800, San Francisco, CA 94105-1744 Ph: (415) 231-5333 | Dr Linda Alic, MD 350 Dover Ln, Roanoke, TX 76262-1149 Ph: (815) 353-3900 |
Ayorinde Olatokunbo Ogunbameru, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Solana Blvd Ste 2200, Roanoke, TX 76262 Phone: 817-693-5486 Fax: 817-717-6569 | |
Dr. Zachary Wade Marshall, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N Oak St Unit B, Roanoke, TX 76262 Phone: 682-593-9355 Fax: 608-713-8024 |