| Gail E Prendergast, MD | |
|
403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 | |
| (815) 285-5629 | |
| (815) 285-5634 |
| Full Name | Gail E Prendergast |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 403 E. 1st Street, Dixon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548294184 | NPI | - | NPPES |
| 036102246 | Medicaid | IL | |
| F400261482 | Other | IL | MEDICARE PTAN |
| 0222075 | Other | IL | BLUE CROSS GROUP NUMER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036102246 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036-102246 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gail E Prendergast, MD 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Ph: (815) 285-5629 | Gail E Prendergast, MD 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Ph: (815) 285-5629 |
Pranjal M Agrawal, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-284-7733 Fax: 815-288-1487 | |
Tyrone Robert Brand, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 |