| Dr Eghe Egiebor, MD | |
|
1418 College Dr, Mount Carmel, IL 62863-2638 | |
| (618) 263-6302 | |
| Not Available |
| Full Name | Dr Eghe Egiebor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1418 College Dr, Mount Carmel, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356328504 | NPI | - | NPPES |
| 000000225575 | Other | IN | BLUE SHIELD |
| 000000240785 | Other | IN | BLUE SHIELD |
| 200244860 | Medicaid | IN | |
| 3932056 | Other | IL | BLUE SHIELD |
| 000000207079 | Other | IN | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036112265 (Illinois) | Primary |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191025000956 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20240220002324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eghe Egiebor, MD Po Box 68052, Indianapolis, IN 46268-0052 Ph: () - | Dr Eghe Egiebor, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 263-6302 |
Dr. Kamatchi Ondiveerappan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-263-6302 | |
Dr. John S Barbee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-263-6302 |