Jagan Mohan Reddy Bokka I, MD | |
1000 Health Center Dr, Mattoon, IL 61938-9261 | |
(217) 238-4325 | |
(217) 348-4290 |
Full Name | Jagan Mohan Reddy Bokka I |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 1000 Health Center Dr, Mattoon, 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 |
---|---|---|---|
1124274063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26478 (Oklahoma) | Secondary |
208M00000X | Hospitalist | 036-128216 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036-128216 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Jagan Mohan Reddy Bokka I, MD 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4693 Ph: (217) 238-6055 | Jagan Mohan Reddy Bokka I, MD 1000 Health Center Dr, Mattoon, IL 61938-9261 Ph: (217) 238-4325 |
Dr. Dominic Perrino, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Andrew Robert Gage, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110 | |
Robert Wochner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 103, Mattoon, IL 61938 Phone: 217-258-4051 Fax: 217-258-4063 | |
Kristine Ross Carpenter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr., Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Margaret Louisa Tate, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 120, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Dr. Dawn Miesner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr, Ste 120, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904 |