Dr Maria P Rivera, MD | |
144 North Ct, Dixon, IL 61021 | |
(815) 285-5437 | |
(815) 285-8928 |
Full Name | Dr Maria P Rivera |
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Gender | Female |
Speciality | Pediatrics |
Location | 144 North Ct, Dixon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073581971 | NPI | - | NPPES |
036092336 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-092336 (Illinois) | Primary |
Entity Name | Ksb Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Mailing Address | Practice Location Address |
---|---|
Dr Maria P Rivera, MD 102 S Hennepin Ave, Dixon, IL 61021-3083 Ph: (815) 288-7711 | Dr Maria P Rivera, MD 144 North Ct, Dixon, IL 61021 Ph: (815) 285-5437 |
Dr. Pratip Kumar Nag, M.D. PH.D Pediatrics Medicare: Medicare Enrolled Practice Location: 144 North Ct, Dixon, IL 61021 Phone: 815-285-5437 Fax: 815-285-8928 | |
Dr. Natasha Denise Noel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 144 North Ct, Dixon, IL 61021 Phone: 815-285-5437 | |
Dr. Vijaya A Sayana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-288-7711 Fax: 815-285-8902 |