| Gregory L. Totel, M.d.,s.c. | |
|
1 Memorial Dr Ste 201 Decatur IL 62526-6317 | |
| (217) 875-1090 | |
| (217) 875-1099 |
| Full Name | Gregory L. Totel, M.d.,s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Memorial Dr Ste 201, Decatur, Illinois |
| Authorized Official Name and Position | Gregory Lee Totel (PRESIDENT) |
| Authorized Official Contact | 2178751090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L. Totel, M.d.,s.c. 1 Memorial Dr Ste 201 Decatur IL 62526-6317 Ph: (217) 875-1090 | Gregory L. Totel, M.d.,s.c. 1 Memorial Dr Ste 201 Decatur IL 62526-6317 Ph: (217) 875-1090 |
| NPI Number | 1740598234 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 09/17/2010 |
| Medicare PECOS PAC ID | 2264422203 |
|---|---|
| Medicare Enrollment ID | O20040513000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740598234 | NPI | - | NPPES |
| 05822058 | Other | IL | BLUE CROSS BLUE SHEILD |
| 036068474 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036068474 (Illinois) | Primary |
| Provider Name | Gregory Lee Totel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558470690 PECOS PAC ID: 6901896950 Enrollment ID: I20100917000464 |
Heritage Behavioral Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Veteran's Administration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3035 E Mound Rd, Decatur, IL 62526 Phone: 217-875-2670 Fax: 217-875-2689 | |
Oasis Day Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 West Cerro Gordo Street, Decatur, IL 62526 Phone: 217-422-3940 | |
Vsr Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 W Imboden Dr, Decatur, IL 62521 Phone: 715-207-1134 | |
Heritage Behavioral Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 W Cerro Gordo St, Decatur, IL 62522 Phone: 217-422-3940 | |
Planned Parenthood Of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3021 N Oakland Ave, Decatur, IL 62526 Phone: 217-877-6474 Fax: 217-877-9452 | |
Gowdar & Gowdawr Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 W Pershing Rd, Decatur, IL 62526 Phone: 217-876-7200 Fax: 217-876-7233 |