| Dr Daniel S Doolittle, MD | |
|
8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | |
| (618) 241-8798 | |
| (618) 244-6010 |
| Full Name | Dr Daniel S Doolittle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 8 Doctors Park Rd, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912957051 | NPI | - | NPPES |
| 036091188 | Medicaid | IL | |
| 046800 | Other | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-091188 (Illinois) | Primary |
| Entity Name | Iroquois Memorial Hospital And Resident Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629003470 PECOS PAC ID: 4385551258 Enrollment ID: O20040517000306 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Iroquois Memorial Hospital And Resident Home |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1629003470 PECOS PAC ID: 4385551258 Enrollment ID: O20230323000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel S Doolittle, MD 2250 N Illinois Ave, Carbondale, IL 62901-5612 Ph: (618) 833-1691 | Dr Daniel S Doolittle, MD 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 Ph: (618) 241-8798 |
Dr. Douglas Elner Frankel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 N 12th St, Mount Vernon, IL 62864 Phone: 618-241-1000 | |
Christie Foster, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1104 S 42nd St, Mount Vernon, IL 62864 Phone: 618-315-6360 Fax: 618-315-6356 | |
Edgardo S Emilia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1009 S 42nd St, Suite 1, Mount Vernon, IL 62864 Phone: 618-241-6015 |