| Dr William R Padgett Jr, MD | |
|
1200 N East St, Olney, IL 62450-2499 | |
| (618) 395-5222 | |
| (618) 395-8552 |
| Full Name | Dr William R Padgett Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1200 N East St, Olney, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225046253 | NPI | - | NPPES |
| 160033468 | Other | RAILROAD MEDICARE | |
| 284797 | Other | IL | HEALTHLINK |
| 065697 | Other | IL | HEALTH ALLIANCE |
| 036095639 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036095639 (Illinois) | Primary |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William R Padgett Jr, MD 1120 N East St, Olney, IL 62450-6927 Ph: (618) 395-5222 | Dr William R Padgett Jr, MD 1200 N East St, Olney, IL 62450-2499 Ph: (618) 395-5222 |
Dr. Rise Carol Hatten, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1120 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Nona P Fulk, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-392-9520 Fax: 618-395-5117 | |
Mark Thomas Behnam, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-392-1131 Fax: 618-395-5117 |