| Dr Anand Ponnappan, MD | |
|
1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 | |
| (217) 258-2409 | |
| (217) 258-2323 |
| Full Name | Dr Anand Ponnappan |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 1005 Health Center Dr Ste 201, Mattoon, 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 |
|---|---|---|---|
| 1629124243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036123972 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 912 |
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Entity Name | Head & Neck Cosmetic Surgery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558330811 PECOS PAC ID: 2264476118 Enrollment ID: O20050613000607 |
| 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 |
|---|---|
| Dr Anand Ponnappan, MD 147 S Delaplaine Rd, Riverside, IL 60546-2371 Ph: (708) 853-9367 | Dr Anand Ponnappan, MD 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 Ph: (217) 258-2409 |
Lori Cudone, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Mary Elizabeth Gorman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Michael Smith, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Sandra Lynn Ettema, M.D., PH.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Harry Robert Borovik, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 |