| Dr Mark A Muscato, MD | |
|
2300 N Edward St, Decatur, IL 62526-4163 | |
| (217) 876-2300 | |
| (217) 876-6725 |
| Full Name | Dr Mark A Muscato |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 2300 N Edward St, Decatur, 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 |
|---|---|---|---|
| 1902852916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 33675225 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Abraham Lincoln Memorial Hospital | Lincoln, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Memorial Hospital | 6204731144 | 155 |
| Imaging Consultants Of Central Illinois Sc | 6800275900 | 9 |
| Entity Name | Decatur Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
| Entity Name | Decatur Radiology Physicians Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640977 PECOS PAC ID: 1658353974 Enrollment ID: O20040602000158 |
| Entity Name | Imaging Consultants Of Central Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427796838 PECOS PAC ID: 6800275900 Enrollment ID: O20220621001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Muscato, MD 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-2300 | Dr Mark A Muscato, MD 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-2300 |
Dr. Jeffrey Marc Boorstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2300 Fax: 217-876-6725 | |
Soman Nair, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2984 Fax: 217-464-1631 | |
Harold A Yoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W Mckinley Ave Ste 1, Decatur, IL 62526 Phone: 217-877-9442 Fax: 217-233-1670 | |
Mrs. Mary Anne Depaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W. Mckinley Ave, Ste 2, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Mr. Edward C Elliott Ii, MD Radiology Medicare: Medicare Enrolled Practice Location: 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Dr. Renata Charissa Moore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1990 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2900 Fax: 217-464-2909 |