| Dr Anastasia Lvovna Khoubaeva, MD | |
|
1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| (815) 433-3100 | |
| (815) 433-0879 |
| Full Name | Dr Anastasia Lvovna Khoubaeva |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 1100 E Norris Dr, Ottawa, 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 |
|---|---|---|---|
| 1053643106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036129686 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Carle Hoopeston Regional Health Center | Hoopeston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoopeston Emergency Medicine Specialists Ltd | 0941102446 | 12 |
| Entity Name | Hoopeston Emergency Medicine Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316965197 PECOS PAC ID: 0941102446 Enrollment ID: O20040124000083 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Valley West Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184705931 PECOS PAC ID: 6507769957 Enrollment ID: O20070515000333 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anastasia Lvovna Khoubaeva, MD 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 433-3100 | Dr Anastasia Lvovna Khoubaeva, MD 1100 E Norris Dr, Ottawa, IL 61350-1604 Ph: (815) 433-3100 |
Dr. Sheera Lall, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 | |
Michael Thomas Monticciolo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 Fax: 815-433-0879 | |
Diana Goodwine, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 Fax: 815-433-0879 | |
Jordan Grace Marganski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 Fax: 815-433-0879 |