| Dr Dominic Lee Phemister, MD | |
|
405 W Jackson St, Carbondale, IL 62901-1462 | |
| (618) 549-0721 | |
| (618) 457-0469 |
| Full Name | Dr Dominic Lee Phemister |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 405 W Jackson St, Carbondale, 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 |
|---|---|---|---|
| 1306339189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125.072370 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036.155060 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Hospital | Springfield, IL | Hospital |
| St Francis Hospital | Litchfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dominic Lee Phemister, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Dominic Lee Phemister, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
Scott A. Cooper, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Memorial Hospital, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Amanda M Ryden, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Ethan Mark Huckabee, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Connor Stephenson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Dr. Osama Aaflaq, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Kevin M Martin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
James Sullivan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |