Dr Tandy Korte, MD | |
2601 W Main St, Carbondale, IL 62901-1031 | |
(618) 549-5361 | |
(618) 351-4878 |
Full Name | Dr Tandy Korte |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2601 W Main St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376656439 | NPI | - | NPPES |
370021476 | Other | IL | RR MEDICARE NUMBER |
3932056 | Other | IL | BCBS |
324134 | Other | IL | GHP |
036107118 | Medicaid | IL | |
133287 | Other | IL | GHP INSURANCE NUMBER |
075989 | Other | IL | HAMP INSURANCE NUMBER |
482487 | Other | IL | HEALTHLINK |
7210895 | Other | IL | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036107118 (Illinois) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Tandy Korte, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Tandy Korte, MD 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Poonam Thakore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549 | |
Dr. Amanda Jane Bleichner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Tamara Buckles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 |