| Dr Michael D Scott, MD | |
| 
					5404 Fairview Ave, Downers Grove, IL 60515-5332  | |
| (630) 921-1606 | |
| Not Available | 
| Full Name | Dr Michael D Scott | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 5404 Fairview Ave, Downers Grove, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790763571 | NPI | - | NPPES | 
| 036100296 | Medicaid | IL | |
| 036100296-4 | Medicaid | IL | |
| 3932056 | Other | IL | BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036100296 (Illinois) | Primary | 
| Entity Name | Sarah Bush Lincoln Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478  | 
| Entity Name | Memorial Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20080529000078  | 
| Entity Name | Integritas Emergency Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760  | 
| Entity Name | App Of Illinois Ed Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650  | 
| Entity Name | Statera Health Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael D Scott, MD 5404 Fairview Ave, Downers Grove, IL 60515-5332 Ph: (630) 921-1606  | Dr Michael D Scott, MD 5404 Fairview Ave, Downers Grove, IL 60515-5332 Ph: (630) 921-1606  | 
Thomas J Mullin Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Advocate Good Samaritan Hospital, 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900 Fax: 630-734-1560  | |
Dr. Michael Gucci, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2655 Warrenville Rd Ste 500, Downers Grove, IL 60515 Phone: 855-783-6877  | |
Marc R. Spiller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 877-485-4474  | |
Yogesh P Vajaria, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3815 Highland Ave, Advocate Good Samaritan Hospital, Downers Grove, IL 60515 Phone: 630-275-5900 Fax: 630-734-1560  | |
Bradly Healton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30000 Woodcreek Dr, 200b, Downers Grove, IL 60515 Phone: 636-087-4299 Fax: 630-968-1622  | |
Valerie Phillips, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900  | |
Dipul V Patadia, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3815 Highland Ave, Downers Grove, IL 60515 Phone: 630-275-5900  |