| Evan T Belfer Md Sc | |
|
801 N 14th St Murphysboro IL 62966-1611 | |
| (618) 687-2319 | |
| (618) 684-3321 |
| Full Name | Evan T Belfer Md Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 N 14th St, Murphysboro, Illinois |
| Authorized Official Name and Position | Evan T Belfer (PRESIDENT) |
| Authorized Official Contact | 6186872319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan T Belfer Md Sc 801 N 14th St Murphysboro IL 62966-1611 Ph: (618) 687-2319 | Evan T Belfer Md Sc 801 N 14th St Murphysboro IL 62966-1611 Ph: (618) 687-2319 |
| NPI Number | 1184927303 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 9335329093 |
|---|---|
| Medicare Enrollment ID | O20110211000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184927303 | NPI | - | NPPES |
| 078338 | Other | IL | HEALTH ALLIANCE |
| 431741 | Other | IL | HEALTHLINK |
| 039-32006 | Other | IL | BLUECROSS BLUESHIELD |
| 614634500 | Other | IL | DEPARTMENT OF LABOR |
| 080191627 | Other | IL | RAILROAD MEDICARE |
| 036-107906 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036-107906 (Illinois) | Primary |
| Provider Name | Evan T Belfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689780876 PECOS PAC ID: 6901850817 Enrollment ID: I20110211000944 |
Tri-county Sp Ed Jnt Agreement Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Walnut St, Murphysboro, IL 62966 Phone: 618-684-3781 Fax: 618-684-2465 | |
Murphysboro Cu Sch Dist 186 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Walnut St, Murphysboro, IL 62966 Phone: 618-684-3781 Fax: 618-684-2465 | |
Murphysboro Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 N 6th St, Murphysboro, IL 62966 Phone: 618-684-6408 Fax: 618-684-3637 | |
Medical Arts Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 E Shawnee Dr, Murphysboro, IL 62966 Phone: 618-684-2172 Fax: 618-687-4480 | |
Tri-county Sp Ed Jnt Agreement Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Walnut St, Murphysboro, IL 62966 Phone: 618-684-3781 Fax: 618-684-2465 | |
Pinckneyville School District #50 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 Shomaker Dr, Murphysboro, IL 62966 Phone: 618-684-2109 |