| Dr Thomas Robert Dekoj, MD | |
|
1750 E Lake Shore Drive, Suite 200, Decatur, IL 62521-3806 | |
| (217) 428-6300 | |
| (217) 428-6322 |
| Full Name | Dr Thomas Robert Dekoj |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 1750 E Lake Shore Drive, Decatur, 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 |
|---|---|---|---|
| 1053514646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036126490 (Illinois) | Primary |
| 208C00000X | Colon & Rectal Surgery | 261007 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt Sinai Hospital Medical Center | Chicago, IL | Hospital |
| Holy Cross Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Sinai Community Foundation | 5991600405 | 247 |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Robert Dekoj, MD 1750 E Lake Shore Drive, Suite 200, Decatur, IL 62521-3806 Ph: (217) 428-6300 | Dr Thomas Robert Dekoj, MD 1750 E Lake Shore Drive, Suite 200, Decatur, IL 62521-3806 Ph: (217) 428-6300 |
Dr. Ranjodh Singh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505 |
Micheal Young, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1730 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-329-1000 Fax: 217-329-1055 |
Timothy S Bailey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr Ste 300, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505 |
Thomas H Tarter, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 210 W Mckinley Ave Ste 1, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 |
John Joseph White, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1750 E Lake Shore Dr, Ste 200, Decatur, IL 62521 Phone: 217-428-6300 Fax: 217-428-6322 |
Robin Michelle Riley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 480-522-8661 |
Donald Paul Kamm, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 W Hay St, Decatur, IL 62526 Phone: 217-424-2374 Fax: 217-424-2383 |