Dr Qi Xiao, MD | |
611 W Park, Fapc, Urbana, IL 61802 | |
(217) 902-6954 | |
(217) 902-7711 |
Full Name | Dr Qi Xiao |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 611 W Park, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437690724 | NPI | - | NPPES |
200044378 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2022034048 (Missouri) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036162475 (Illinois) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
Entity Name | Clinical Radiologists Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20090330000410 |
Entity Name | Miracl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
Entity Name | John Fitzgibbon Memorial Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750155818 PECOS PAC ID: 2567351570 Enrollment ID: O20231120001012 |
Mailing Address | Practice Location Address |
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Dr Qi Xiao, MD 611 W Park, Fapc, Urbana, IL 61802 Ph: (217) 902-6954 | Dr Qi Xiao, MD 611 W Park, Fapc, Urbana, IL 61802 Ph: (217) 902-6954 |
David Kimball, Radiology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 | |
Kendall C Newsome, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Gregory A. Babcock, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Interventional Radiology, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7742 | |
Dr. Jason M Huston, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 | |
Douglas W Morton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Juan J Jimenez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Stephanie K Weber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 |