| Dr David John Hagan, MD | |
|
222 N Sangamon Ave, Gibson City, IL 60936-1345 | |
| (217) 784-8148 | |
| (217) 784-8160 |
| Full Name | Dr David John Hagan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 45 Years |
| Location | 222 N Sangamon Ave, Gibson City, 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 |
|---|---|---|---|
| 1467433557 | NPI | - | NPPES |
| 2715526 | Other | BCBS | |
| 143882 | Other | RIVERBEND MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036066538 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Gibson Community Hsp Annex | Gibson city, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gibson Community Hospital Association | 5092703124 | 109 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David John Hagan, MD 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-8148 | Dr David John Hagan, MD 222 N Sangamon Ave, Gibson City, IL 60936-1345 Ph: (217) 784-8148 |
Mrs. Mary Ellen Allen, APN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 N Sangamon Ave, Gibson City, IL 60936 Phone: 217-748-8148 Fax: 217-784-8160 | |
Chelsey Luke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5500 Fax: 217-784-4106 | |
Patricia Belle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4030 Fax: 217-784-4405 | |
Mark M Spangler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4030 Fax: 217-784-4405 | |
Mr. Amnuay Sethakorn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Doctors Park, Gibson City, IL 60936 Phone: 217-784-8919 | |
Dr. Katherine M Austman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5500 |