Mastan Rao Indlamuri, MD, | |
2239 E Cook St, Springfield, IL 62703-1944 | |
(713) 500-7616 | |
(713) 500-7619 |
Full Name | Mastan Rao Indlamuri |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 2239 E Cook St, Springfield, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134561913 | NPI | - | NPPES |
036142622 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.142622 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Illinois Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Counties Health Centers, Inc. | 3274445762 | 14 |
Entity Name | Central Counties Health Centers, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861480709 PECOS PAC ID: 3274445762 Enrollment ID: O20031106000319 |
Mailing Address | Practice Location Address |
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Mastan Rao Indlamuri, MD, 2239 E Cook St, Springfield, IL 62703-1944 Ph: (217) 788-2300 | Mastan Rao Indlamuri, MD, 2239 E Cook St, Springfield, IL 62703-1944 Ph: (713) 500-7616 |
Dr. Kaitlin Delaney Henry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Mark T. Mckay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Dr. Jennifer E. Richards, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-793-9960 | |
Mrs. Lacey Dively Moy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 Fax: 217-588-7439 | |
Dr. Hari Iyengar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 | |
Dr. Jamie Wallman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701 Phone: 217-545-8000 | |
Janet R Albers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-8161 |