Sara De La Rosa, MD | |
960 E Mound Rd, Decatur, IL 62526-2099 | |
(217) 877-5050 | |
(217) 877-9711 |
Full Name | Sara De La Rosa |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 9 Years |
Location | 960 E Mound Rd, Decatur, 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 |
---|---|---|---|
1992190821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 0101266362 (Virginia) | Secondary |
207W00000X | Ophthalmology | 036154010 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great River Medical Center | West burlington, IA | Hospital |
Henry County Health Center | Mount pleasant, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Iowa Regional Medical Center Inc | 3870496417 | 202 |
Entity Name | Southeast Iowa Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Entity Name | Henry County Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
Mailing Address | Practice Location Address |
---|---|
Sara De La Rosa, MD 2020 W Iles Ave, Springfield, IL 62704-4174 Ph: (217) 698-3030 | Sara De La Rosa, MD 960 E Mound Rd, Decatur, IL 62526-2099 Ph: (217) 877-5050 |
Dr. John C. Lee, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1714 S Blaine Ln, Decatur, IL 62521 Phone: 217-423-9000 Fax: 217-423-9002 | |
Dr. Sushant K Sinha, D.O. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 646 W Pershing Rd, Decatur, IL 62526 Phone: 217-875-0300 Fax: 217-875-9525 | |
Phillip D Alward, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St, Suite 311, Decatur, IL 62526 Phone: 217-698-3030 Fax: 217-698-4728 | |
Maung Maung Tin, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1770 East Lake Shore Dr, Suite 101, Decatur, IL 62521 Phone: 217-233-1405 Fax: 217-233-1407 | |
Dr. Christine L Warchol, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 646 W Pershing Rd, Decatur, IL 62526 Phone: 217-875-0300 Fax: 217-875-9525 |