| Dr Qi Xiao, MD | |
|
611 W Park, Fapc, Urbana, IL 61802 | |
| (217) 902-6954 | |
| (217) 902-7711 |
| Full Name | Dr Qi Xiao |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 611 W Park, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437690724 | NPI | - | NPPES |
| 200044378 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2022034048 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036162475 (Illinois) | Primary |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
| Entity Name | Miracl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Qi Xiao, MD 611 W Park, Fapc, Urbana, IL 61802 Ph: (217) 902-6954 | Dr Qi Xiao, MD 611 W Park, Fapc, Urbana, IL 61802 Ph: (217) 902-6954 |
Cheng-han Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 | |
David Kimball, Radiology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 | |
Kendall C Newsome, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Dr. Jason M Huston, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 | |
Douglas W Morton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Juan J Jimenez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Stephanie K Weber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 |