| David T Cross, | |
|
134 W Adams St, Morton, IL 61550-1802 | |
| (217) 528-7541 | |
| (309) 676-6545 |
| Full Name | David T Cross |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 22 Years |
| Location | 134 W Adams St, Morton, 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 |
|---|---|---|---|
| 1831301282 | NPI | - | NPPES |
| 036118871 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036118871 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 678 |
| Entity Name | Springfield Clinic, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Mailing Address | Practice Location Address |
|---|---|
| David T Cross, Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | David T Cross, 134 W Adams St, Morton, IL 61550-1802 Ph: (217) 528-7541 |
Matthew Knight, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-684-2255 |
Donald Baker, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-284-2255 |
Ronald Luce, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-284-2255 |
Shad Beaty, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 134 W Adams St, Morton, IL 61550 Phone: 309-291-3380 |