| Dr William J Bowen, MD | |
|
707 N Logan Ave, Danville, IL 61832-4360 | |
| (217) 477-4734 | |
| (217) 477-4751 |
| Full Name | Dr William J Bowen |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 707 N Logan Ave, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225019508 | NPI | - | NPPES |
| 100172120 | Medicaid | IN | |
| 036124380 | Medicaid | IL | |
| 172712 | Other | HEALTH ALLIANCE | |
| 230940C | Other | IN | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0361424380 (Illinois) | Primary |
| Entity Name | Danville Polyclinic, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336181544 PECOS PAC ID: 3072404060 Enrollment ID: O20040320000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William J Bowen, MD 707 N Logan Ave, Danville, IL 61832-4360 Ph: (217) 477-4734 | Dr William J Bowen, MD 707 N Logan Ave, Danville, IL 61832-4360 Ph: (217) 477-4734 |
Dean J Scavone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 Phone: 217-554-1800 Fax: 217-444-5888 | |
Dr. James Savage, Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 N Logan Ave Ste 204, Danville, IL 61832 Phone: 217-446-1827 | |
Roger Hoon Kim, MD Surgery Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 | |
Dr. Kulasekhar Sampath, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5450 | |
Dr. Muthiah Thangavelu, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-446-6410 Fax: 217-477-4757 | |
Dr. Vijay Batura, MD Surgery Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4849 |