| Dr Michael Little, MD | |
|
1300 Pin Oak Dr, Carterville, IL 62918-1665 | |
| (618) 985-3333 | |
| Not Available |
| Full Name | Dr Michael Little |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 19 Years |
| Location | 1300 Pin Oak Dr, Carterville, 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 |
|---|---|---|---|
| 1093915902 | NPI | - | NPPES |
| 036129749 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 036.129749 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Pinckneyville Community Hospital | Pinckneyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Radiation Oncology Llc | 7315040474 | 3 |
| Entity Name | Southern Illinois Radiation Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447318050 PECOS PAC ID: 7315040474 Enrollment ID: O20070309000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Little, MD 1400 Pin Oak Dr, Carterville, IL 62918-1600 Ph: () - | Dr Michael Little, MD 1300 Pin Oak Dr, Carterville, IL 62918-1665 Ph: (618) 985-3333 |
Jack T Sandford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10286 Fleming Rd, Carterville, IL 62918 Phone: 618-985-4000 Fax: 618-985-4155 |