| Deborah Lea Fowler Dixon Bross, MD | |
|
301 Edwardsville Road, Troy, IL 62294 | |
| (618) 667-7057 | |
| (618) 667-8131 |
| Full Name | Deborah Lea Fowler Dixon Bross |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 301 Edwardsville Road, Troy, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487692430 | NPI | - | NPPES |
| 036091572 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036091572 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036901572 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alton Memorial Hospital | Alton, IL | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Lea Fowler Dixon Bross, MD 301 Edwardsville Road, Troy, IL 62294 Ph: (618) 667-7057 | Deborah Lea Fowler Dixon Bross, MD 301 Edwardsville Road, Troy, IL 62294 Ph: (618) 667-7057 |
Eric Dean Lopatin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Edwardsville Road, Troy, IL 62294 Phone: 618-667-7057 Fax: 618-667-8131 | |
Mr. Rodney L Lupardus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 West Us Highway 40, Troy, IL 62294 Phone: 618-391-5065 Fax: 618-667-2779 | |
Dr. Bhavesh Patel, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 619 Edwardsville Rd, Troy, IL 62294 Phone: 618-667-1200 Fax: 618-667-2778 | |
Dolores M Cantrell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 E Highway 40, Troy, IL 62294 Phone: 618-667-1200 Fax: 618-667-4527 |