| Dr Mary Terese Couture, DO | |
|
611 W Park St, Urbana, IL 61801-2501 | |
| (217) 383-3313 | |
| Not Available |
| Full Name | Dr Mary Terese Couture |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962064782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125074456 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036161092 (Illinois) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | The Vein Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861703100 PECOS PAC ID: 3870782915 Enrollment ID: O20110105000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Terese Couture, DO 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Dr Mary Terese Couture, DO 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3313 |
Dr. Carlos Enrique Brown Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 | |
Dr. Imran Khan, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 | |
Dr. Brent Olson, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 | |
Brendan Mcevoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3285 | |
Michael F Hegarty, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-4930 Fax: 217-383-4014 | |
Ryan Paul Hurth, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 | |
Lars Grant, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Emergency Department, Urbana, IL 61801 Phone: 217-337-2131 |