| Dr Thomas Waldon Staton, MD | |
|
28 Chick St Ste 100, Metropolis, IL 62960-2467 | |
| (618) 524-8381 | |
| (618) 638-1316 |
| Full Name | Dr Thomas Waldon Staton |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 28 Chick St Ste 100, Metropolis, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306825500 | NPI | - | NPPES |
| 000006400037 | Other | IL | BCBS OF ILLINOIS |
| 036086549-3 | Medicaid | IL | |
| 000000042813 | Other | KY | ANTHEM BCBS OF KENTUCKY |
| 036086549 | Medicaid | IL | |
| 080099679 | Other | RAILROAD MEDICARE | |
| 64281678 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036086549 (Illinois) | Primary |
| Entity Name | Massac Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790788578 PECOS PAC ID: 3072422799 Enrollment ID: O20040322000487 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20151207002218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Waldon Staton, MD 28 Chick St Ste 100, Metropolis, IL 62960-2467 Ph: (618) 524-8381 | Dr Thomas Waldon Staton, MD 28 Chick St Ste 100, Metropolis, IL 62960-2467 Ph: (618) 524-8381 |
Mete Altug, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1204 W 10th St, Metropolis, IL 62960 Phone: 618-524-2284 | |
Dr. Randy Eugene Oliver, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1203 W 10th St, Metropolis, IL 62960 Phone: 618-524-3795 Fax: 618-524-3211 | |
Timothy William Cox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1203 W 10th St, Metropolis, IL 62960 Phone: 618-524-3795 Fax: 270-575-5990 | |
Jonathan E Walters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Chick St Ste 100, Metropolis, IL 62960 Phone: 618-638-1343 Fax: 618-638-1340 | |
Yusheng Dong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1204 W 10th St Ste C, Metropolis, IL 62960 Phone: 618-524-2182 Fax: 618-524-2451 |