| Cedric Emden Davis Ii, MD | |
|
403 E 1st St, Dixon, IL 61021-3116 | |
| (815) 285-5629 | |
| (815) 285-5634 |
| Full Name | Cedric Emden Davis Ii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 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 |
|---|---|---|---|
| 1356534994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036145261 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036145261 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Integris Southwest Medical Center | Oklahoma city, OK | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| St Lucie Medical Center | Port saint lucie, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hni Hospital Services Of Florida Llc | 0244661353 | 53 |
| Hni Medical Services Of Florida, Llc | 7517202112 | 101 |
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 471 |
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
| Entity Name | Eastside Hospitalists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285676957 PECOS PAC ID: 9436157831 Enrollment ID: O20061120000141 |
| Entity Name | Cogent Healthcare Of Jacksonville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
| Entity Name | Coral Springs Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673767 PECOS PAC ID: 7719268333 Enrollment ID: O20161219002533 |
| Entity Name | Sound Physicians Of Florida Iv, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Collins Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457839524 PECOS PAC ID: 9234476920 Enrollment ID: O20190204002452 |
| Entity Name | Hni Hospital Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Entity Name | Cmj Health Group Plus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477313070 PECOS PAC ID: 2163968413 Enrollment ID: O20240723000544 |
| Entity Name | Haan Health Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871323816 PECOS PAC ID: 4880114313 Enrollment ID: O20250226003944 |
| Mailing Address | Practice Location Address |
|---|---|
| Cedric Emden Davis Ii, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-5629 | Cedric Emden Davis Ii, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-5629 |
Maitri Mehta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Kirk Anthony Stewart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8520 | |
Joyce Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Jaclyn Pranita Parayao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Tyler Walsh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Dr. James Francis Gallant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 | |
Dr. Kristine P Pultorak, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5561 Fax: 815-285-5859 |