| Dr Charles R Heron, MD | |
|
904 W Temple Ave, Effingham, IL 62401 | |
| (217) 342-1234 | |
| (217) 342-1230 |
| Full Name | Dr Charles R Heron |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 904 W Temple Ave, Effingham, 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 |
|---|---|---|---|
| 1942283585 | NPI | - | NPPES |
| 32081000 | Medicaid | WI | |
| P0036797 | Other | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 33270-020 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 036-128867 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles R Heron, MD Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Dr Charles R Heron, MD 904 W Temple Ave, Effingham, IL 62401 Ph: (217) 342-1234 |
Dr. Ashokkumar Vinaychandra Shah, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 217-342-2121 | |
Dr. Anthony H Guarino, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 901 Medical Park Dr Ste 200, Effingham, IL 62401 Phone: 217-347-2332 Fax: 217-347-2313 | |
Robert H Petty, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 904 W Temple Ave, Effingham, IL 62401 Phone: 217-342-1234 Fax: 816-461-6586 | |
Frank M Eaton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 618-231-2700 |