| Dr Douglas L Gates, MD | |
|
305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | |
| (618) 457-0404 | |
| (618) 457-6579 |
| Full Name | Dr Douglas L Gates |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 305 W Jackson St, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952406639 | NPI | - | NPPES |
| 271450 | Other | IL | HEALTHLINK |
| 027521 | Other | IL | HEALTH ALLIANCE |
| 036090833 | Medicaid | IL | |
| 3930184 | Other | IL | BLUE CROSS BLUE SHIELD |
| 235776 | Other | IL | HARMONY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036090833 (Illinois) | Primary |
| Entity Name | Heartland Women's Healthcare Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851307532 PECOS PAC ID: 1759270648 Enrollment ID: O20040310001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas L Gates, MD 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 Ph: (618) 457-0404 | Dr Douglas L Gates, MD 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 Ph: (618) 457-0404 |
Dr. Kenzie Lynn Glassburn, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 | |
Barenya Mukerji, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 305 W Jackson St Ste 402, Carbondale, IL 62901 Phone: 618-998-8808 Fax: 618-998-8809 | |
Dr. Sylvia F Garwin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 120 N Illinois Ave, Carbondale, IL 62901 Phone: 618-529-5611 Fax: 618-529-5651 | |
Mr. Donald K Bishop, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1390 Hope Dr, Suite B, Carbondale, IL 62901 Phone: 877-456-2496 Fax: 618-997-5285 | |
Miss Sherry K Jones, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9404 |