Kathy D Swafford, MD | |
300 W Oak St, Carbondale, IL 62901-1400 | |
(618) 536-6621 | |
Not Available |
Full Name | Kathy D Swafford |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 300 W Oak St, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871583849 | NPI | - | NPPES |
102371 | Other | IL | HEALTHLINK |
021175 | Other | IL | HEALTH ALLIANCE |
09122971 | Other | IL | BLUE CROSS/BLUE SHIELD |
036074783 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036074783 (Illinois) | Primary |
2080C0008X | Pediatrics - Child Abuse Pediatrics | 036074783 (Illinois) | Secondary |
Entity Name | Board Of Trustees Of Southern Illinois University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
Mailing Address | Practice Location Address |
---|---|
Kathy D Swafford, MD 201 E Madison St Ste 328, Springfield, IL 62702-5131 Ph: (217) 545-8000 | Kathy D Swafford, MD 300 W Oak St, Carbondale, IL 62901-1400 Ph: (618) 536-6621 |
Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Poonam Thakore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549 | |
Dr. Amanda Jane Bleichner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Tamara Buckles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 |