| David G Vermillion M D P C | |
|
1802 N Division St Ste 201 Morris IL 60450-1183 | |
| (815) 513-5625 | |
| (815) 513-5624 |
| Full Name | David G Vermillion M D P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 1802 N Division St Ste 201, Morris, Illinois |
| Authorized Official Name and Position | Mary M. Smith (BILLER/CODER) |
| Authorized Official Contact | 8159425200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David G Vermillion M D P C 1802 N Division St Ste 201 Morris IL 60450-1183 Ph: (815) 513-5625 | David G Vermillion M D P C 1802 N Division St Ste 201 Morris IL 60450-1183 Ph: (815) 513-5625 |
| NPI Number | 1154361921 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 12/18/2017 |
| Medicare PECOS PAC ID | 4587686514 |
|---|---|
| Medicare Enrollment ID | O20051219000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154361921 | NPI | - | NPPES |
| 0003221864 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036082906 | Medicaid | IL | |
| 019038 | Other | IL | HEALTH ALLIANCE |
| 370009963 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207R00000X (Illinois) | Primary |
| 208000000X | Pediatrics | 208000000X (Illinois) | Secondary |
| Provider Name | David G Vermillion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093718801 PECOS PAC ID: 6204858244 Enrollment ID: I20051219000891 |
Peter C. Roumeliotis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Dresden Dr, Morris, IL 60450 Phone: 815-942-5200 Fax: 815-943-5330 | |
Morris Audiology Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1802 Division St Ste 509, Morris, IL 60450 Phone: 815-941-4700 Fax: 815-941-4700 | |
Southwest Diabetes Endocrinology Associates Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W High St, Morris, IL 60450 Phone: 815-942-2932 | |
Osf Oncall - Morris Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N Division St, Morris, IL 60450 Phone: 815-431-3410 Fax: 309-655-4878 | |
Kucinski Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Waverly St, Morris, IL 60450 Phone: 815-941-8210 Fax: 815-941-1584 | |
Raja K Saleem Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 948 W Us Route 6, Morris, IL 60450 Phone: 815-942-5474 Fax: 815-942-5498 |