Dr Timothy Allotey Pappoe, MD | |
405 W Jackson St, Carbondale, IL 62901-1462 | |
(618) 549-0721 | |
Not Available |
Full Name | Dr Timothy Allotey Pappoe |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 405 W Jackson 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 |
---|---|---|---|
1336155878 | NPI | - | NPPES |
214881 | Other | IL | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036108026 (Illinois) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Entity Name | Texas Childrens Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Mailing Address | Practice Location Address |
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Dr Timothy Allotey Pappoe, MD Po Box 1105, Indianapolis, IN 46206-1105 Ph: (618) 457-5200 | Dr Timothy Allotey Pappoe, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
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. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
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 |