Dr Ryan G Porter Sr, MD | |
611 W. Park St., Sc2, Urbana, IL 61801-2500 | |
(217) 383-3130 | |
(217) 383-4451 |
Full Name | Dr Ryan G Porter Sr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 20 Years |
Location | 611 W. Park St., Urbana, 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 |
---|---|---|---|
1912160441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 125-049495 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle Health Care Incorporated | 3577515774 | 799 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan G Porter Sr, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Dr Ryan G Porter Sr, MD 611 W. Park St., Sc2, Urbana, IL 61801-2500 Ph: (217) 383-3130 |
Michael A Novak, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Sc2, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 | |
Dr. Jacob A. Stelle, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Ent, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 | |
Vicki Prell, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Muhamad Amine, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Ent, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 | |
Charles R Maris, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 602 W. University Avenue, Otolaryngology, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 |