| Dr Iliya Udler, DO | |
|
1850 Chadwick Dr, Jackson, MS 39204-3404 | |
| (601) 376-2832 | |
| (601) 936-1260 |
| Full Name | Dr Iliya Udler |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 1850 Chadwick Dr, Jackson, Mississippi |
| 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 |
|---|---|---|---|
| 1447662861 | NPI | - | NPPES |
| 04580733 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3815 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 25169 (Mississippi) | Primary |
| 208M00000X | Hospitalist | 25169 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Methodist Hospitals Of Memphis | Memphis, TN | Hospital |
| Fmol Health I St Dominic | Jackson, MS | Hospital |
| Merit Health Central | Jackson, MS | Hospital |
| Select Specialty Hospital Jackson | Jackson, MS | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ch Mssp Services Tn Pllc | 0042603656 | 48 |
| Impact Physician Group, Tennessee Llc | 3476051525 | 10 |
| Impact Physician Group Llc | 6204199086 | 26 |
| Mississippi Hma Hospitalists Llc | 5991972077 | 55 |
| Greenbrook Physician Services, Llc | 5597267427 | 70 |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Hospital Medicine Services of Tennessee PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Entity Name | Impact Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114428612 PECOS PAC ID: 6204199086 Enrollment ID: O20250623002447 |
| Entity Name | Impact Physician Group, Tennessee LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265320055 PECOS PAC ID: 3476051525 Enrollment ID: O20250808001259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Iliya Udler, DO 734b Sherwood Dr, Jackson, MS 39216-3303 Ph: Not Available | Dr Iliya Udler, DO 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (601) 376-2832 |
Graves Crawley Stubblefield Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Briarwood Dr, Jackson, MS 39206 Phone: 601-991-1933 Fax: 601-978-3844 |
Dr. Rebecca Chick Pace, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 |
Jewelian Akbar Baig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 |
Jo P Deal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216 Phone: 601-368-3440 Fax: 601-368-3441 |
Meghan Alford Luter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 |
Dr. Taylor Brooke Winstead, MD, PHARMD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |
Dr. Erin Rushing Sears, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |