| Dr Mitchell L Warren, MD | |
|
740 Waukegan Rd, Suite 360, Deerfield, IL 60015 | |
| (847) 945-6770 | |
| (847) 945-3159 |
| Full Name | Dr Mitchell L Warren |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 33 Years |
| Location | 740 Waukegan Rd, Deerfield, 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 |
|---|---|---|---|
| 1376543041 | NPI | - | NPPES |
| 180039248 | Other | RAILROAD MEDICARE | |
| 036093327 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 036093327 (Illinois) | Secondary |
| 207W00000X | Ophthalmology | 036-093327 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ophthalmology Partners, Ltd. | 0547392383 | 4 |
| Entity Name | Ophthalmology Partners, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750423463 PECOS PAC ID: 0547392383 Enrollment ID: O20100714000940 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitchell L Warren, MD 740 Waukegan Rd, Suite 360, Deerfield, IL 60015-4374 Ph: (847) 945-6770 | Dr Mitchell L Warren, MD 740 Waukegan Rd, Suite 360, Deerfield, IL 60015 Ph: (847) 945-6770 |
Dr. Tamara R Fountain, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 740 Waukegan Rd, Suite 360, Deerfield, IL 60015 Phone: 847-945-6770 Fax: 847-945-3159 | |
Dr. Diany Morales, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 740 Waukegan Rd, Suite 360, Deerfield, IL 60015 Phone: 847-945-6770 Fax: 847-945-3159 | |
Dr. Ronald Charles May, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 740 Waukegan Rd, Suite 360, Deerfield, IL 60015 Phone: 847-945-6770 Fax: 847-945-3159 |