Dr Lundy Wade Colvert, MD | |
4500 Memorial Dr, Belleville, IL 62226-5360 | |
(618) 257-5879 | |
(618) 257-6740 |
Full Name | Dr Lundy Wade Colvert |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4500 Memorial Dr, Belleville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225179476 | NPI | - | NPPES |
P00265156 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036114113 (Illinois) | Secondary |
207R00000X | Internal Medicine | E-8137 (Arkansas) | Secondary |
207P00000X | Emergency Medicine | E-8137 (Arkansas) | Primary |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Mailing Address | Practice Location Address |
---|---|
Dr Lundy Wade Colvert, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Lundy Wade Colvert, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-5879 |
Dr. Neil Mcclymont, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Memorial Hospital - Er, Belleville, IL 62226 Phone: 618-233-7750 Fax: 618-257-6860 | |
Michelle M Vandorn, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4315 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Judith L Wuller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 | |
Dr. Djiby Diop, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740 | |
Kristy L Holland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 | |
Dr. Robert W Mecker Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5879 Fax: 618-257-6740 |