| Dr Colby Lee Carr, MD | |
|
385 S Orange St, El Paso, IL 61738-1613 | |
| (309) 527-4900 | |
| Not Available |
| Full Name | Dr Colby Lee Carr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 385 S Orange St, El Paso, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669092938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125.075615 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036.161912 (Illinois) | Primary |
| Entity Name | Carle Eureka Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Colby Lee Carr, MD 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Dr Colby Lee Carr, MD 385 S Orange St, El Paso, IL 61738-1613 Ph: (309) 527-4900 |
Dr. Paul E. Hakes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 385 S Orange St, El Paso, IL 61738 Phone: 309-527-4900 Fax: 309-527-3525 | |
Dr. Steven C. Ingalsbe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 385 S Orange St, El Paso, IL 61738 Phone: 309-527-4900 Fax: 309-527-3525 |