Timothy S Bailey, MD | |
1 Memorial Dr Ste 300, Decatur, IL 62526-6322 | |
(217) 876-5500 | |
(217) 876-5505 |
Full Name | Timothy S Bailey |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1 Memorial Dr Ste 300, 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 |
---|---|---|---|
1053378976 | NPI | - | NPPES |
036081501 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036081501 (Illinois) | Primary |
Entity Name | Decatur Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Mailing Address | Practice Location Address |
---|---|
Timothy S Bailey, MD 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 Ph: (217) 877-5421 | Timothy S Bailey, MD 1 Memorial Dr Ste 300, Decatur, IL 62526-6322 Ph: (217) 876-5500 |
Dr. Ranjodh Singh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505 | |
John Joseph White, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1750 E Lake Shore Dr, Ste 200, Decatur, IL 62521 Phone: 217-428-6300 Fax: 217-428-6322 | |
Dr. Nikesh Lath, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-1200 | |
Robin Michelle Riley, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 480-522-8661 | |
Donald Paul Kamm, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 W Hay St, Decatur, IL 62526 Phone: 217-424-2374 Fax: 217-424-2383 | |
Dr. Albert F Gilman Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr Ste 300, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505 |