Mrs Kelly Ann Luciano, MD | |
520 N 4th St, Springfield, IL 62702-5238 | |
(217) 757-8100 | |
Not Available |
Full Name | Mrs Kelly Ann Luciano |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 13 Years |
Location | 520 N 4th St, Springfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598020158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125.061583 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Physician Services | 9032005681 | 165 |
Entity Name | Decatur Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Entity Name | Memorial Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Ann Luciano, MD 817 E Cook St, Springfield, IL 62703-1625 Ph: (217) 816-6854 | Mrs Kelly Ann Luciano, MD 520 N 4th St, Springfield, IL 62702-5238 Ph: (217) 757-8100 |
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 |