Dr Stephen D Gabriel, MD | |
215 E 1st St, Ste 305 Ksb Medical Group, Dixon, IL 61021 | |
(815) 285-5800 | |
(815) 285-5691 |
Full Name | Dr Stephen D Gabriel |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 36 Years |
Location | 215 E 1st St, Dixon, 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 |
---|---|---|---|
1255302568 | NPI | - | NPPES |
K05116 | Other | IL | MEDICARE PTAN |
036091184 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036-091184 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Katherine Shaw Bethea Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen D Gabriel, MD 215 E 1st St Ste 326, Dixon, IL 61021-3190 Ph: (815) 285-5800 | Dr Stephen D Gabriel, MD 215 E 1st St, Ste 305 Ksb Medical Group, Dixon, IL 61021 Ph: (815) 285-5800 |
Dr. Xamnan Tulyasathien, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Ste 305, Dixon, IL 61021 Phone: 815-285-5800 Fax: 815-285-5691 | |
Thomas Hernandez, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 326, Dixon, IL 61021 Phone: 815-285-5800 Fax: 815-285-5691 |