| Dr Christopher John Rivera, MD | |
|
14509 State Route 127, Carlyle, IL 62231-6485 | |
| (618) 594-3613 | |
| (888) 859-4347 |
| Full Name | Dr Christopher John Rivera |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 14509 State Route 127, Carlyle, 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 |
|---|---|---|---|
| 1659372605 | NPI | - | NPPES |
| 036096480 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036096480 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036096480 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caretenders Visiting Services Of Southern Illinois | Fairview heights, IL | Home health agency |
| Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
| St Josephs Hospital | Breese, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| University Of Illinois Hospital | Chicago, IL | Hospital |
| Carlyle Healthcare Center | Carlyle, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde | 9638064892 | 31 |
| Entity Name | Illinois Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
| Entity Name | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457319154 PECOS PAC ID: 9638064892 Enrollment ID: O20040217000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher John Rivera, MD 14509 State Route 127, Carlyle, IL 62231-6485 Ph: (618) 594-3613 | Dr Christopher John Rivera, MD 14509 State Route 127, Carlyle, IL 62231-6485 Ph: (618) 594-3613 |
Dr. Alberto Butalid, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 14505 State Route 127, Carlyle, IL 62231 Phone: 618-594-8924 Fax: 618-594-7918 |