Kiran Kumar Yelakanti, MD | |
2512 Hurst Dr Ste 130, Mattoon, IL 61938-9200 | |
(217) 258-7590 | |
(217) 258-3686 |
Full Name | Kiran Kumar Yelakanti |
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Gender | Male |
Speciality | Pediatrics |
Location | 2512 Hurst Dr Ste 130, Mattoon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811272149 | NPI | - | NPPES |
0560481 | Medicaid | NJ | |
03924081 | Medicaid | NY | |
300018617 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 276624 (New York) | Secondary |
208000000X | Pediatrics | 036153492 (Illinois) | Primary |
Entity Name | Carle Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
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Kiran Kumar Yelakanti, MD 611 W Park St, Fapc, Urbana, IL 61801 Ph: () - | Kiran Kumar Yelakanti, MD 2512 Hurst Dr Ste 130, Mattoon, IL 61938-9200 Ph: (217) 258-7590 |
Dr. David R Knox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2512 Hurst Dr., Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904 | |
Roza Ioffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Rachel T Lape, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Richmond Ave E Ste 4, Mattoon, IL 61938 Phone: 217-238-5345 Fax: 217-238-5348 | |
Mrs. Amy J Leifheit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Dr. Nafees Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 | |
Ivan T. Snowden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Drive, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 |