Dr Sandra Lynn Ettema, MD, PHD | |
1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 | |
(217) 258-2409 | |
(217) 258-2323 |
Full Name | Dr Sandra Lynn Ettema |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 23 Years |
Location | 1005 Health Center Dr Ste 201, Mattoon, 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 |
---|---|---|---|
1760577902 | NPI | - | NPPES |
036118460 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036.118460 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
St Anthonys Memorial Hospital | Effingham, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
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 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Dr Sandra Lynn Ettema, MD, PHD Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Dr Sandra Lynn Ettema, MD, PHD 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 Ph: (217) 258-2409 |
Lori Cudone, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Michael Smith, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Harry Robert Borovik, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Charly Nguyen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 |