| Dr Worlali Moses Nutakor, MD | |
|
2310 E Mound Rd, Decatur, IL 62526-9640 | |
| (217) 877-0353 | |
| Not Available |
| Full Name | Dr Worlali Moses Nutakor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 2310 E Mound Rd, Decatur, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104937960 | NPI | - | NPPES |
| 036103408-1 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036103408 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036103408 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Entity Name | Midwest Emergency Department Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Worlali Moses Nutakor, MD 775 Spyglass Blvd, Forsyth, IL 62535-9639 Ph: (217) 872-6134 | Dr Worlali Moses Nutakor, MD 2310 E Mound Rd, Decatur, IL 62526-9640 Ph: (217) 877-0353 |
Gabriel Munoz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Gerald A Snyder, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Terry Balagna, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Phillip Barnell, M.D., FAAFP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Dr. Edward Leon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Emergency Dept, Decatur, IL 62526 Phone: 217-876-3000 | |
Koleen Barnell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Jose Reyes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |