Dr Mamatha Moodalagiriaiah, MD | |
1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | |
(217) 872-2400 | |
(217) 875-4680 |
Full Name | Dr Mamatha Moodalagiriaiah |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 22 Years |
Location | 1 Memorial Dr, Decatur, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891058566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | 036-133305 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Naperville Womens Health Care, Pc | 0042382194 | 4 |
Entity Name | Naperville Womens Health Care, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063695237 PECOS PAC ID: 0042382194 Enrollment ID: O20080707000163 |
Mailing Address | Practice Location Address |
---|---|
Dr Mamatha Moodalagiriaiah, MD 19266 Tyrone St, Harper Woods, MI 48225-2499 Ph: (320) 309-5583 | Dr Mamatha Moodalagiriaiah, MD 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 Ph: (217) 872-2400 |
Dr. Gretchen L Byrkit, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: One Memorial Dr, Ste 216, Decatur, IL 62526 Phone: 217-875-5574 Fax: 217-875-5724 | |
Jeffrey Pfeiffer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 544 West Pershing Road, Suite A, Decatur, IL 62526 Phone: 217-872-2400 | |
Vidya Sagar Rao Morisetty, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 675 E Snyder Dr Ste 1, Decatur, IL 62526 Phone: 217-875-1886 Fax: 217-875-3120 | |
Roy Tsuda, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Suite 300, Decatur, IL 62526 Phone: 217-875-5565 Fax: 217-875-4680 | |
Trevor D. Lineberry, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Suite 300, Decatur, IL 62526 Phone: 217-875-5545 Fax: 217-875-4680 | |
Dr. Douglas Venice Combs, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-545-8000 | |
Pierre Michael Johnson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Suite 300, Decatur, IL 62526 Phone: 217-872-2400 Fax: 217-875-4680 |