| Dr Anthony Oria Amiewalan I, MD FACOG | |
|
1750 East Lake Shore Dr, Suite 320, Decatur, IL 62521 | |
| (217) 422-0560 | |
| (217) 422-0872 |
| Full Name | Dr Anthony Oria Amiewalan I |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 38 Years |
| Location | 1750 East Lake Shore Dr, Decatur, 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 |
|---|---|---|---|
| 1669486668 | NPI | - | NPPES |
| 270591128 | Medicaid | IL | |
| 036112019 | Medicaid | IL | |
| 1669486668 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 036112019 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036112019 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital | Decatur, IL | Hospital |
| Entity Name | Anthony O Amiewalan Md, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053543215 PECOS PAC ID: 7517003098 Enrollment ID: O20091014000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Oria Amiewalan I, MD FACOG 2965 N Main St Ste A2969n, Decatur, IL 62526-4392 Ph: (217) 422-0560 | Dr Anthony Oria Amiewalan I, MD FACOG 1750 East Lake Shore Dr, Suite 320, Decatur, IL 62521 Ph: (217) 422-0560 |
Dr. Gretchen L Byrkit, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: One Memorial Dr, Ste 216, Decatur, IL 62526 Phone: 217-875-5574 Fax: 217-875-5724 | |
Jeffrey Pfeiffer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 544 West Pershing Road, Suite A, Decatur, IL 62526 Phone: 217-872-2400 | |
Vidya Sagar Rao Morisetty, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 675 E Snyder Dr Ste 1, Decatur, IL 62526 Phone: 217-875-1886 Fax: 217-875-3120 | |
Roy Tsuda, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Suite 300, Decatur, IL 62526 Phone: 217-875-5565 Fax: 217-875-4680 | |
Trevor D. Lineberry, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Suite 300, Decatur, IL 62526 Phone: 217-875-5545 Fax: 217-875-4680 | |
Dr. Douglas Venice Combs, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Fl 1, Decatur, IL 62526 Phone: 217-545-8000 | |
Pierre Michael Johnson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Suite 300, Decatur, IL 62526 Phone: 217-872-2400 Fax: 217-875-4680 |