| Sleep Medicine Associates, Llc. | |
|
8305 Express Drive, Suite C Marion IL 62959 | |
| (618) 993-0086 | |
| (618) 993-0088 |
| Full Name | Sleep Medicine Associates, Llc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8305 Express Drive, Suite C, Marion, Illinois |
| Authorized Official Name and Position | Terry Michael Brown (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6189930086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Medicine Associates, Llc. Po Box 1433 Murphysboro IL 62966 Ph: (618) 993-0086 | Sleep Medicine Associates, Llc. 8305 Express Drive, Suite C Marion IL 62959 Ph: (618) 993-0086 |
| NPI Number | 1861532608 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 04/04/2019 |
| Medicare PECOS PAC ID | 2365547817 |
|---|---|
| Medicare Enrollment ID | O20070412000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861532608 | NPI | - | NPPES |
| 660328 | Other | IL | HEALTHLINK |
| 036109663 | Medicaid | IL | |
| 0723320 | Medicaid | KY | |
| 3932015 | Other | IL | BLUECROSS BLUESHIELD OF ILLINOIS |
| DF5180 | Other | IL | RAILROAD MEDICARE- GROUP |
| 088817 | Other | IL | HEALTH ALLIANCE |
| P00118900 | Other | IL | RAILROAD MEDICARE- PIN |
| 208084 | Other | IL | MEDICARE- GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Terry M Brown |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1811085293 PECOS PAC ID: 8527958453 Enrollment ID: I20040316000934 |
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