Ellie Marie Bentley, DO | |
220 S Park Ave Fl 3, Herrin, IL 62948 | |
(618) 942-2002 | |
(618) 351-6497 |
Full Name | Ellie Marie Bentley |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 11 Years |
Location | 220 S Park Ave Fl 3, Herrin, 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 |
---|---|---|---|
1093157315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036150570 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vohra Wound Physicians Of Il Sc | 9830377688 | 21 |
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 |
Entity Name | Vohra Wound Physicians Of Il Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790080505 PECOS PAC ID: 9830377688 Enrollment ID: O20110624000499 |
Mailing Address | Practice Location Address |
---|---|
Ellie Marie Bentley, DO Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Ellie Marie Bentley, DO 220 S Park Ave Fl 3, Herrin, IL 62948 Ph: (618) 942-2002 |
William F. Hays, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3305 Logan Dr, Herrin, IL 62948 Phone: 618-997-4444 Fax: 618-993-1173 | |
Kristina Marie Potanos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Dr. Cyril Kamya, M.D Surgery Medicare: Medicare Enrolled Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 | |
Medha Suwanawongse, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 N 13th St, Herrin, IL 62948 Phone: 618-988-6025 Fax: 618-988-6024 | |
Dr. Robert Judson Brewer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave, 3rd Floor, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Anne Hardy-henry, Surgery Medicare: Accepting Medicare Assignments Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-351-6491 |