| Debabrata Ray, MD | |
|
2100 Madison Ave, Granite City, IL 62040-4701 | |
| (618) 798-3000 | |
| (618) 798-3885 |
| Full Name | Debabrata Ray |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699861583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
| Entity Name | Touchette Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922019926 PECOS PAC ID: 7416843370 Enrollment ID: O20040226000538 |
| Entity Name | Midwest Emergency Good Samaritan, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645 |
| Entity Name | Midwest Emergency Centralia Campus Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Entity Name | Ahs Il Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Debabrata Ray, MD 2144 Brook Hill Ct, Chesterfield, MO 63017-7941 Ph: () - | Debabrata Ray, MD 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 798-3000 |
Dr. Kelly M Farroll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 | |
David Bogolub, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 Fax: 618-798-3885 | |
Jeffrey D Arendell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-6300 Fax: 618-798-3716 |