| Charles M Davis, MD | |
|
8201 E Riverside Blvd, Rockford, IL 61114-2300 | |
| (815) 971-7000 | |
| Not Available |
| Full Name | Charles M Davis |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 56 Years |
| Location | 8201 E Riverside Blvd, Rockford, 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 |
|---|---|---|---|
| 1447240171 | NPI | - | NPPES |
| 056888 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MMD5688MD (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 056888 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Mclaren Bay Region | Bay city, MI | Hospital |
| Norwegian-american Hospital | Chicago, IL | Hospital |
| Bayhealth Hospital, Kent Campus | Dover, DE | Hospital |
| Mclaren Central Michigan | Mount pleasant, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Paz Regional Hospital Inc | 1557273356 | 47 |
| Bayhealth Radiologists Llc | 0446601876 | 80 |
| On-line Radiology Medical Group Inc | 0648311548 | 64 |
| Radiology Associates Of Albuquerque Pa | 2860304482 | 93 |
| Pco Pc | 5395179329 | 72 |
| Humboldt Park Health | 8921907072 | 93 |
| Thorek Radiology Group Nfp | 1658786421 | 36 |
| Hospital And Medical Foundation Of Paris, Inc. | 7315933827 | 100 |
| Humboldt Park Health | 8921907072 | 93 |
| Lubbock County Hospital District | 4385538941 | 73 |
| Interfaith Professional Physician Services Pc | 9931378171 | 348 |
| Entity Name | La Paz Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053684555 PECOS PAC ID: 1557273356 Enrollment ID: O20031219000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Davis, MD 1770 Iowa Ave Ste 280, Riverside, CA 92507-7401 Ph: (951) 786-0801 | Charles M Davis, MD 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7000 |
Dr. Alix Vincent, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Christopher Vittore, Radiology Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Martin Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 888-696-7820 Fax: 815-636-1771 | |
Karl E. Magsamen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Esther Lee, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Steven L Schneider, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-6205 Fax: 815-636-1771 | |
Dr. Sean Alexander Feinberg, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 |