| Dr Gerald Wayne Mcclallen, DO | |
|
2 S Hospital Dr, Murphysboro, IL 62966-3333 | |
| (618) 684-3156 | |
| (618) 529-0524 |
| Full Name | Dr Gerald Wayne Mcclallen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 41 Years |
| Location | 2 S Hospital Dr, Murphysboro, 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 |
|---|---|---|---|
| 1285686709 | NPI | - | NPPES |
| 046749 | Other | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-078422 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eldorado Emergency Group Pc | 3678955028 | 11 |
| 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 | Eldorado Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235868191 PECOS PAC ID: 3678955028 Enrollment ID: O20220801002597 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald Wayne Mcclallen, DO Po Box 3988, Carbondale, IL 62902-3988 Ph: (800) 457-5200 | Dr Gerald Wayne Mcclallen, DO 2 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 684-3156 |
Dr. Valerie Ann Kupferer, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 628 N 14th St, Murphysboro, IL 62966 Phone: 618-687-2353 Fax: 618-351-5665 | |
Dr. Mark T Donvito, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 Fax: 618-529-0524 | |
Dr. Thomas William Kupferer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 628 N 14th St, Murphysboro, IL 62966 Phone: 618-687-2353 Fax: 618-687-9511 |