| Diana C Mcnulty, | |
|
1010 Fairway Dr, Freeport, IL 61032-6600 | |
| (815) 599-7880 | |
| Not Available |
| Full Name | Diana C Mcnulty |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 1010 Fairway Dr, Freeport, 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 |
|---|---|---|---|
| 1215900105 | NPI | - | NPPES |
| 036103840 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036103840 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Home Healthcare, Llc | Freeport, IL | Home health agency |
| Fhn Hospice | Freeport, IL | Hospice |
| Fhn Memorial Hospital | Freeport, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeport Regional Health Care Foundation | 9234041682 | 82 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Freeport Regional Health Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana C Mcnulty, 421 W Exchange St, Po Box 268, Freeport, IL 61032-4030 Ph: (815) 599-7950 | Diana C Mcnulty, 1010 Fairway Dr, Freeport, IL 61032-6600 Ph: (815) 599-7880 |
Robert Geller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000 | |
Mr. Eugene Michael Gaertner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1036 W Stephenson St, Freeport, IL 61032 Phone: 815-599-7410 | |
Dr. Renu Dosi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7740 Fax: 815-599-7650 | |
Arshad Rashid Shaikh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1163 W Stephenson St, Freeport, IL 61032 Phone: 815-599-7000 Fax: 815-599-7091 | |
Dr. Anwer Rasheed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-6000 Fax: 815-599-7769 | |
Dr. Diann D Bennett, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-6000 |