Tyrone Robert Brand, MD | |
403 E 1st St, Dixon, IL 61021 | |
(815) 285-5629 | |
(815) 285-5634 |
Full Name | Tyrone Robert Brand |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 9 Years |
Location | 403 E 1st St, Dixon, 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 |
---|---|---|---|
1285017947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036145130 (Illinois) | Secondary |
208M00000X | Hospitalist | 036145130 (Illinois) | Primary |
207P00000X | Emergency Medicine | 036145130 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Serenity Hospice And Home | Oregon, IL | Hospice |
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Cgh Medical Center | Sterling, IL | Hospital |
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Dixon Rehab & Hcc | Dixon, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Katherine Shaw Bethea Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Mailing Address | Practice Location Address |
---|---|
Tyrone Robert Brand, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-8520 | Tyrone Robert Brand, MD 403 E 1st St, Dixon, IL 61021 Ph: (815) 285-5629 |
Gail E Prendergast, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 |