Dr Tamara R Fountain, MD | |
740 Waukegan Rd, Suite 360, Deerfield, IL 60015-4374 | |
(847) 945-6770 | |
(847) 945-3159 |
Full Name | Dr Tamara R Fountain |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 36 Years |
Location | 740 Waukegan Rd, Deerfield, 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 |
---|---|---|---|
1033110978 | NPI | - | NPPES |
036085597 | Medicaid | IL | |
180042658 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036-085597 (Illinois) | Secondary |
207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 036085597 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ophthalmology Partners, Ltd. | 0547392383 | 4 |
Eye Center Physicians, Ltd. | 2567411325 | 34 |
Entity Name | Eye Center Physicians, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992715650 PECOS PAC ID: 2567411325 Enrollment ID: O20050119000339 |
Entity Name | Ophthalmology Partners, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750423463 PECOS PAC ID: 0547392383 Enrollment ID: O20100714000940 |
Mailing Address | Practice Location Address |
---|---|
Dr Tamara R Fountain, MD 740 Waukegan Rd, Suite 360, Deerfield, IL 60015-4374 Ph: (847) 945-6770 | Dr Tamara R Fountain, MD 740 Waukegan Rd, Suite 360, Deerfield, IL 60015-4374 Ph: (847) 945-6770 |
Dr. Diany Morales, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 740 Waukegan Rd, Suite 360, Deerfield, IL 60015 Phone: 847-945-6770 Fax: 847-945-3159 | |
Dr. Mitchell L Warren, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 740 Waukegan Rd, Suite 360, Deerfield, IL 60015 Phone: 847-945-6770 Fax: 847-945-3159 | |
Dr. Ronald Charles May, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 740 Waukegan Rd, Suite 360, Deerfield, IL 60015 Phone: 847-945-6770 Fax: 847-945-3159 |