| Dr Madhavi Madugula, MD | |
|
2200 Fort Jesse Rd, Suite 110, Normal, IL 61761-6286 | |
| (309) 661-6290 | |
| (309) 451-1354 |
| Full Name | Dr Madhavi Madugula |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 2200 Fort Jesse Rd, Normal, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144266065 | NPI | - | NPPES |
| P00690231 | Other | RR MEDICARE INDIVIDUAL # | |
| CA2264 | Other | RR GROUP # | |
| 036121987 | Medicaid | IL | |
| 4769673 | Medicaid | MI | |
| 833120 | Other | IL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301085702 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Madhavi Madugula, MD 4501 Sand Creek Rd, Antioch, CA 94531-8687 Ph: (810) 964-3246 | Dr Madhavi Madugula, MD 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761-6286 Ph: (309) 661-6290 |
Dr. Rachel Christine Dalal, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Franklin Ave Ste 100, Normal, IL 61761 Phone: 309-268-3761 Fax: 309-268-5620 | |
Ashraf Abdeljaber, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 | |
John A. Pollastrini, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 1100, Normal, IL 61761 Phone: 309-268-2727 Fax: 309-268-6513 | |
George Gerolimatos, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-3558 | |
James Steven Vales, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 109 Veronica Way, Normal, IL 61761 Phone: 309-454-4698 | |
Susan Rausch, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761 Phone: 309-661-6290 Fax: 309-451-1354 | |
Dr. Unnati Upadhyay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-268-3598 |