Mr Benjamin A Brooks, MD | |
637 E Snyder St, Decatur, IL 62526 | |
(217) 423-7337 | |
(217) 423-7338 |
Full Name | Mr Benjamin A Brooks |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 637 E Snyder 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 |
---|---|---|---|
1851564470 | NPI | - | NPPES |
036104474 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 036104474 (Illinois) | Primary |
Entity Name | Springfield Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Mr Benjamin A Brooks, MD 637 E Snyder St, Decatur, IL 62526 Ph: (217) 423-7337 | Mr Benjamin A Brooks, MD 637 E Snyder St, Decatur, IL 62526 Ph: (217) 423-7337 |
Margaret M Thomson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2905 N. Main Street, Decatur, IL 62526 Phone: 217-877-9117 Fax: 217-877-3077 | |
Rebecca J Josefson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 Fax: 217-877-3081 | |
Dr. Sharon J Bonds, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Mayra A Arzon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: One Memorial Dr, Ste 101, Decatur, IL 62526 Phone: 217-875-0690 Fax: 217-875-4148 | |
Christina M Branham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 637 E Snyder St, Decatur, IL 62526 Phone: 217-423-7337 Fax: 217-423-7338 | |
Jamie Sue Warnick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1770 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-423-8800 Fax: 217-422-8120 | |
Dr. Vineeta Chandra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2905 North Main St, Community Health Improvement Center, Decatur, IL 62526 Phone: 217-877-9117 Fax: 217-877-3077 |