| Dr Michael M Wall, MD | |
|
241 W Weaver Rd, Ste 145c, Forsyth, IL 62535-9799 | |
| (217) 876-5200 | |
| (217) 876-5205 |
| Full Name | Dr Michael M Wall |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 241 W Weaver Rd, Forsyth, 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 |
|---|---|---|---|
| 1093772311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036071267 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Springfield, IL | Home health agency |
| Hospice Care Of Illinois | Springfield, IL | Hospice |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Memorial Medical Center | Springfield, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Memorial Hospital | 6204731144 | 155 |
| 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 | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael M Wall, MD 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 Ph: (217) 876-5690 | Dr Michael M Wall, MD 241 W Weaver Rd, Ste 145c, Forsyth, IL 62535-9799 Ph: (217) 876-5200 |
Hannah Alyce Prater, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd Ste 145c, Forsyth, IL 62535 Phone: 217-876-5200 Fax: 217-876-5206 | |
Dr. Pooja Sheth-dutt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd, Forsyth, IL 62535 Phone: 217-876-5220 | |
Dr. Roberto Pabalate, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd Ste 240, Forsyth, IL 62535 Phone: 217-876-3780 Fax: 217-876-3790 | |
Dr. Maryam Qureshi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd, Suite 145d, Forsyth, IL 62535 Phone: 217-876-5250 Fax: 217-876-5255 | |
Leah Marie Cummings, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 332 W Marion Ave, Forsyth, IL 62535 Phone: 217-383-0065 Fax: 217-666-9967 | |
Mr. Dean Ryan Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 W Weaver Rd Ste 145a, Forsyth, IL 62535 Phone: 217-876-5270 Fax: 217-875-4001 |