Keith R Martin, MD | |
3103 W Kunkle Blvd, Freeport, IL 61032-6922 | |
(815) 233-0999 | |
(815) 233-7255 |
Full Name | Keith R Martin |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 36 Years |
Location | 3103 W Kunkle Blvd, Freeport, 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 |
---|---|---|---|
1801007190 | NPI | - | NPPES |
08932003 | Other | IL | BLUE CROSS BLUE SHIELD OF |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VH0002X | Obstetrics & Gynecology - Hospice And Palliative Medicine | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fhn Memorial Hospital | Freeport, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Freeport Regional Health Care Foundation | 9234041682 | 91 |
Entity Name | Freeport Regional Health Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
Entity Name | Cgh Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
Entity Name | Freeport Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
Mailing Address | Practice Location Address |
---|---|
Keith R Martin, MD 3103 W Kunkle Blvd, Freeport, IL 61032-6922 Ph: (815) 233-0999 | Keith R Martin, MD 3103 W Kunkle Blvd, Freeport, IL 61032-6922 Ph: (815) 233-0999 |
Courtney L Pyant-dan-pullo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-7750 Fax: 815-599-7546 | |
Farouk Isawi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Avenue, Freeport, IL 61032 Phone: 815-599-7788 | |
Ruhee Sidhu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-7750 Fax: 815-599-7546 |