Kasun Chamara Vernon, MD | |
2300 N Edward St, Decatur, IL 62526-4192 | |
(217) 876-8121 | |
Not Available |
Full Name | Kasun Chamara Vernon |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2300 N Edward St, Decatur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104446053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 036165448 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036165448 (Illinois) | Primary |
Entity Name | Pana Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
Entity Name | Decatur Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Entity Name | Taylorville Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518170729 PECOS PAC ID: 8022914704 Enrollment ID: O20031211001049 |
Mailing Address | Practice Location Address |
---|---|
Kasun Chamara Vernon, MD 2300 N Edward St, Decatur, IL 62526-4192 Ph: (217) 876-8121 | Kasun Chamara Vernon, MD 2300 N Edward St, Decatur, IL 62526-4192 Ph: (217) 876-8121 |
Dr. Jeffrey P Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Dr. Jeanne Marie Kairouz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521 Phone: 217-422-6100 | |
Dr. Stephen R Goetter, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664 | |
Dr. Prameeta Jha, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526 Phone: 217-876-3660 Fax: 217-876-3665 | |
David W Baumberger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664 | |
Dr. Ahmad H Ahmad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521 Phone: 217-428-7921 Fax: 217-428-7931 | |
Nadal M Aker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 |