| Dr Tina M Molis, MD | |
|
101 W University Ave, Champaign, IL 61820-3909 | |
| (217) 366-1285 | |
| (217) 366-6129 |
| Full Name | Dr Tina M Molis |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 101 W University Ave, Champaign, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336167287 | NPI | - | NPPES |
| 279500 | Other | IL | MEDICARE GROUP |
| 200520830A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036-122369 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christie Clinic, Pllc | 7719899319 | 210 |
| Christie Clinic, Pllc | 7719899319 | 210 |
| Entity Name | Christie Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20220711000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tina M Molis, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1326 | Dr Tina M Molis, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1285 |
Durga K Pai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Sadasiva B. Jampala, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Steven J Damore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 109 W University Ave, Champaign, IL 61820 Phone: 217-366-5180 Fax: 217-366-6106 | |
Andrew Gene Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Dolores R. Fernandez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Martha Menchaca, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park, Fapc, Champaign, IL 61802 Phone: 217-902-6954 Fax: 217-902-7711 |