| Dr Kurt Martin, MD | |
|
2601 W Main St, Carbondale, IL 62901-1031 | |
| (618) 549-5361 | |
| (618) 351-4878 |
| Full Name | Dr Kurt Martin |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 34 Years |
| Location | 2601 W Main St, 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 |
|---|---|---|---|
| 1164535365 | NPI | - | NPPES |
| 49676 | Other | IL | GHP INS. NUMBER |
| 324139 | Other | IL | GHP |
| 370012538 | Other | IL | RR MEDICARE NUMBER |
| 3932056 | Other | IL | BCBS OF IL |
| 7210895 | Other | IL | AETNA |
| 027530 | Other | IL | HAMP INSURANCE LNUMBER |
| 279844 | Other | IL | HEALTHLINK INS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-093490 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036-093490 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Franklin Williamson Bi County | Marion, IL | Home health agency |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Marshall Browning Hospital | Du quoin, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carbondale Clinic Sc | 0244143352 | 31 |
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
| 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 Kurt Martin, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Kurt Martin, MD 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549 | |
Dr. Amanda Jane Bleichner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Tamara Buckles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Paul F Ploegman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-8687 Fax: 618-529-8688 |