| Dr David F Didomenico, MD DO | |
|
1000 Health Center Dr Ste 305, Mattoon, IL 61938-9261 | |
| (217) 258-4186 | |
| (217) 348-4185 |
| Full Name | Dr David F Didomenico |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 1000 Health Center Dr Ste 305, Mattoon, 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 |
|---|---|---|---|
| 1740297803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036088344 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| 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 David F Didomenico, MD DO Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Dr David F Didomenico, MD DO 1000 Health Center Dr Ste 305, Mattoon, IL 61938-9261 Ph: (217) 258-4186 |
Julia Veronica Fiuk, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 305, Mattoon, IL 61938 Phone: 217-258-4186 Fax: 217-348-4185 | |
Dr. Roger Kent Rives, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 500 Health Center Dr, Suite 305, Mattoon, IL 61938 Phone: 217-258-4186 Fax: 217-258-4185 |