| Dr Price P Omondi, DO | |
|
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
| (217) 464-2400 | |
| Not Available |
| Full Name | Dr Price P Omondi |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1800 E Lake Shore Dr, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477504488 | NPI | - | NPPES |
| 036100726 | Other | IL | BLUE SHIELD |
| 036100726-5 | Medicaid | IL | |
| 1477504488 | Medicaid | MO | |
| 036100726-3 | Medicaid | IL | |
| 036100726-1 | Medicaid | IL | |
| 200233440 | Medicaid | IN | |
| 036100726-2 | Medicaid | IL | |
| 7100112980 | Medicaid | KY |
| Entity Name | Georgia Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609816123 PECOS PAC ID: 8426949587 Enrollment ID: O20040320000451 |
| Entity Name | Park Central Family Practice, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922104306 PECOS PAC ID: 1153328752 Enrollment ID: O20061024000328 |
| Entity Name | Emergency Group Of Columbus Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Price P Omondi, DO 1001 Hollow Valley Ct, Caseyville, IL 62232-2838 Ph: (217) 403-1634 | Dr Price P Omondi, DO 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2400 |
Gabriel Munoz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Gerald A Snyder, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Terry Balagna, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Phillip Barnell, M.D., FAAFP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Dr. Edward Leon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Emergency Dept, Decatur, IL 62526 Phone: 217-876-3000 | |
Koleen Barnell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Jose Reyes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |