Dr Michael M Wall, MD | |
241 W Weaver Rd, Ste 145c, Forsyth, IL 62535-9799 | |
(217) 876-5200 | |
(217) 876-5205 |
Full Name | Dr Michael M Wall |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 241 W Weaver Rd, Forsyth, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093772311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036071267 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
Encompass Health Home Health | Springfield, IL | Home health agency |
Decatur Memorial Hospital | Decatur, IL | Hospital |
St Marys Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Decatur Memorial Hospital | 6204731144 | 135 |
Entity Name | Decatur Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Entity Name | Siu Physicians & Surgeons Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael M Wall, MD 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 Ph: (217) 876-5690 | Dr Michael M Wall, MD 241 W Weaver Rd, Ste 145c, Forsyth, IL 62535-9799 Ph: (217) 876-5200 |
Hannah Alyce Prater, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd Ste 145c, Forsyth, IL 62535 Phone: 217-876-5200 Fax: 217-876-5206 | |
Dr. Roberto Pabalate, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd Ste 240, Forsyth, IL 62535 Phone: 217-876-3780 Fax: 217-876-3790 | |
Dr. Maryam Qureshi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd, Suite 145d, Forsyth, IL 62535 Phone: 217-876-5250 Fax: 217-876-5255 | |
Leah Marie Cummings, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 332 W Marion Ave, Forsyth, IL 62535 Phone: 217-383-0065 Fax: 217-666-9967 | |
Mr. Dean Ryan Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd Ste 145a, Forsyth, IL 62535 Phone: 217-876-5270 Fax: 217-875-4001 | |
Dr. Kenneth W Scribner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd, #190, Forsyth, IL 62535 Phone: 217-876-5240 Fax: 217-876-5245 |