Mr Ming Xu, MD | |
21 Heritage Drive, Suite 102, Bourbonnais, IL 60914 | |
(815) 937-8204 | |
(815) 937-8798 |
Full Name | Mr Ming Xu |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 38 Years |
Location | 21 Heritage Drive, Bourbonnais, 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 |
---|---|---|---|
1548271018 | NPI | - | NPPES |
036101005 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 036101005 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence St Marys Hospital | Kankakee, IL | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
Entity Name | Yictory Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548930779 PECOS PAC ID: 6800287012 Enrollment ID: O20221031001009 |
Entity Name | Chinese Provider Group Of Illinois Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023894557 PECOS PAC ID: 4587019864 Enrollment ID: O20231005002194 |
Mailing Address | Practice Location Address |
---|---|
Mr Ming Xu, MD 9223 W St Francis Road, Frankfort, IL 60423 Ph: (815) 806-3111 | Mr Ming Xu, MD 21 Heritage Drive, Suite 102, Bourbonnais, IL 60914 Ph: (815) 937-8204 |
Mrs. Azra N Pappa, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 Heritage Dr, Ste 102, Bourbonnais, IL 60914 Phone: 815-937-8204 Fax: 815-937-8798 | |
Michael John Sergeant Sr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 475 Brown Blvd, Suite 101, Bourbonnais, IL 60914 Phone: 815-939-7421 |