| Dr Mary Elizabeth Gorman, MD | |
|
1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 | |
| (217) 258-2409 | |
| (217) 258-2323 |
| Full Name | Dr Mary Elizabeth Gorman |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 21 Years |
| Location | 1005 Health Center Dr Ste 201, Mattoon, 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 |
|---|---|---|---|
| 1063636041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036175158 (Illinois) | Primary |
| 207Y00000X | Otolaryngology | D69143 (Maryland) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Winchester Hospital | Winchester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ear, Nose And Throat Consultants, Inc | 0042256463 | 8 |
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Entity Name | Ear, Nose & Throat Consultants, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942209655 PECOS PAC ID: 0042256463 Enrollment ID: O20050707000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Elizabeth Gorman, MD Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Dr Mary Elizabeth Gorman, MD 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653 Ph: (217) 258-2409 |
Lori Cudone, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Michael Smith, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Sandra Lynn Ettema, M.D., PH.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Dr. Harry Robert Borovik, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 |