Fulton Porter Iii, MD | |
17850 Kedzie Ave, 3200, Hazel Crest, IL 60429-2058 | |
(708) 798-8112 | |
(708) 798-9016 |
Full Name | Fulton Porter Iii |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 31 Years |
Location | 17850 Kedzie Ave, Hazel Crest, 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 |
---|---|---|---|
1316944341 | NPI | - | NPPES |
036101229 | Medicaid | IL | |
P00439469/CK6882 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 01071861A (Indiana) | Secondary |
207R00000X | Internal Medicine | 036101229 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital | Munster, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Galen Inpatient Physicians Pc | 3678464633 | 442 |
Entity Name | Community Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Entity Name | Galen Inpatient Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871178368 PECOS PAC ID: 3678464633 Enrollment ID: O20210709002087 |
Mailing Address | Practice Location Address |
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Fulton Porter Iii, MD Po Box 967, Tinley Park, IL 60477-0967 Ph: () - | Fulton Porter Iii, MD 17850 Kedzie Ave, 3200, Hazel Crest, IL 60429-2058 Ph: (708) 798-8112 |
Dr. Shama R. Mehta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17850 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-957-4011 | |
Dr. Kathleen Oshea-wilk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 W 177th St, Suite 1a, Hazel Crest, IL 60429 Phone: 708-799-1100 Fax: 708-799-8343 | |
Dr. Agop Tepeli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17850 South Kedzie Avenue, Suite 3300, Hazel Crest, IL 60429 Phone: 708-799-6055 | |
Dr. Rita Pamela Saldanha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429 Phone: 708-799-9500 Fax: 708-799-9555 | |
Gladys Macagba, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 Fax: 708-747-6830 | |
Syed Haider M Imam, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17850 Kedzie Ave Ste 3250, Hazel Crest, IL 60429 Phone: 708-799-8700 | |
Motilal A. Bhatia, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 17850 Kedzie Ave, 2100, Hazel Crest, IL 60429 Phone: 708-957-4010 |