| Dr Hal Aaron Lewis, MD | |
|
1400 Financial Park, Carbondale, IL 62902-7537 | |
| (618) 351-9140 | |
| (618) 351-9143 |
| Full Name | Dr Hal Aaron Lewis |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 1400 Financial Park, 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 |
|---|---|---|---|
| 1124554209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2018013216 (Missouri) | Secondary |
| 207N00000X | Dermatology | 036154695 (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 Medical Services Nfp | 3678677390 | 299 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hal Aaron Lewis, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Hal Aaron Lewis, MD 1400 Financial Park, Carbondale, IL 62902-7537 Ph: (618) 351-9140 |
Mark Louis Westphal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 665 E Lake Rd, Carbondale, IL 62901 Phone: 618-549-0841 Fax: 618-529-2442 | |
Dr. Susan Schaberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Anup K Chaudhry, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-549-0300 |