| Charles T Morton, MD | |
|
1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 | |
| (217) 365-6202 | |
| (217) 326-1234 |
| Full Name | Charles T Morton |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 1701 W. Curtis Road, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548281082 | NPI | - | NPPES |
| IL2613 | Other | IL | MEDICARE GROUP PTAN |
| P00820813 | Other | RR MEDICARE INDIVIDUAL # | |
| DP5951 | Other | RR MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 036114826 (Illinois) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T Morton, MD 611 W Park St, Bwpc, Urbana, IL 61801-2529 Ph: (217) 383-6792 | Charles T Morton, MD 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 Ph: (217) 365-6202 |
Joseph J Keeley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6106 | |
Myisha Z. Porter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 | |
Haley E Eastin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-0188 | |
Dr. Laura L Edwards, Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 | |
Dr. Susan G. Bolton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6110 | |
Mark S Musselman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-1234 | |
Prudence Hartwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6202 |