| Dr Uretz John Oliphant, MD | |
|
200 Lerna Rd S, Mattoon, IL 61938-9388 | |
| (217) 258-5900 | |
| Not Available |
| Full Name | Dr Uretz John Oliphant |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 200 Lerna Rd S, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033154109 | NPI | - | NPPES |
| 1255380846 | Other | IL | CLINIC GROUP NPI |
| 036072317 | Medicaid | IL | |
| 1033154109 | Other | IL | NPI |
| 754210 | Other | IL | MEDICARE CLINIC PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036072317 (Illinois) | Primary |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Uretz John Oliphant, MD 611 W. Park St., Fapc, Urbana, IL 61801 Ph: () - | Dr Uretz John Oliphant, MD 200 Lerna Rd S, Mattoon, IL 61938-9388 Ph: (217) 258-5900 |
Mark Wolfe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Curtis Green, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Bradley A Wilson, MD Surgery Medicare: Medicare Enrolled Practice Location: Po Box 372, Mattoon, IL 61938 Phone: 217-258-2582 | |
Nicole Renee Hammond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Dr. Ravishankar Hasanadka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4049 Fax: 217-258-4135 | |
Dr. Eun Ee Kim, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 |