| Dr Deedra Gail Mclain, MD | |
|
300 W Oak St, Carbondale, IL 62901-1400 | |
| (618) 536-6621 | |
| Not Available |
| Full Name | Dr Deedra Gail Mclain |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 300 W Oak St, Carbondale, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770635062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036107216 (Illinois) | Secondary |
| 208D00000X | General Practice | 036107216 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Hospital Services | 2961310966 | 18 |
| Board Of Trustees Of Southern Illinois University | 4486667888 | 113 |
| Entity Name | Southern Illinois Hospital Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528158573 PECOS PAC ID: 2961310966 Enrollment ID: O20031211000718 |
| Entity Name | Premise Health Of Illinois Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
| Entity Name | Board Of Trustees Of Southern Illinois University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deedra Gail Mclain, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-3787 | Dr Deedra Gail Mclain, MD 300 W Oak St, Carbondale, IL 62901-1400 Ph: (618) 536-6621 |
Dr. Erhime T Badejo, M.D MSN General Practice Medicare: Medicare Enrolled Practice Location: 305 W Jackson St Ste 200, Carbondale Family Medicine, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102 | |
Dr. Sameer Nasir Mian, DO General Practice Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 |