| Dr David R Knowles, MD | |
|
4109 S Water Tower Pl, Mount Vernon, IL 62864-6293 | |
| (618) 244-4060 | |
| (618) 205-5817 |
| Full Name | Dr David R Knowles |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 28 Years |
| Location | 4109 S Water Tower Pl, Mount Vernon, 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 |
|---|---|---|---|
| 1881699908 | NPI | - | NPPES |
| DE2609 | Other | IL | RAILROAD |
| 036114878 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036114878 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Salem Township Hospital | Salem, IL | Hospital |
| Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urologic Surgeons Pc | 0749294692 | 2 |
| Entity Name | Advanced Urologic Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093901340 PECOS PAC ID: 0749294692 Enrollment ID: O20060130000797 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David R Knowles, MD 4109 S Water Tower Pl, Mount Vernon, IL 62864-6293 Ph: (618) 244-4060 | Dr David R Knowles, MD 4109 S Water Tower Pl, Mount Vernon, IL 62864-6293 Ph: (618) 244-4060 |
Gary M Reagan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864 Phone: 618-244-6710 Fax: 618-244-6779 | |
Dr. Adit Shah, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 |