| Dr Mamatha Moodalagiriaiah, MD | |
|
1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | |
| (217) 872-2400 | |
| (217) 875-4680 |
| Full Name | Dr Mamatha Moodalagiriaiah |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 23 Years |
| Location | 1 Memorial Dr, Decatur, 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 |
|---|---|---|---|
| 1891058566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 036-133305 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Edward Hospital | Naperville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Naperville Womens Health Care, Pc | 0042382194 | 4 |
| Entity Name | Naperville Womens Health Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063695237 PECOS PAC ID: 0042382194 Enrollment ID: O20080707000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mamatha Moodalagiriaiah, MD 19266 Tyrone St, Harper Woods, MI 48225-2499 Ph: (320) 309-5583 | Dr Mamatha Moodalagiriaiah, MD 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 Ph: (217) 872-2400 |
Dr. Gretchen L Byrkit, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: One Memorial Dr, Ste 216, Decatur, IL 62526 Phone: 217-875-5574 Fax: 217-875-5724 | |
Jeffrey Pfeiffer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 544 West Pershing Road, Suite A, Decatur, IL 62526 Phone: 217-872-2400 | |
Vidya Sagar Rao Morisetty, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 675 E Snyder Dr Ste 1, Decatur, IL 62526 Phone: 217-875-1886 Fax: 217-875-3120 | |
Roy Tsuda, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Suite 300, Decatur, IL 62526 Phone: 217-875-5565 Fax: 217-875-4680 | |
Trevor D. Lineberry, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: One Memorial Drive, Suite 300, Decatur, IL 62526 Phone: 217-875-5545 Fax: 217-875-4680 | |
Dr. Douglas Venice Combs, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Fl 1, Decatur, IL 62526 Phone: 217-545-8000 | |
Pierre Michael Johnson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Suite 300, Decatur, IL 62526 Phone: 217-872-2400 Fax: 217-875-4680 |