| Eduardo Vaca, MD | |
|
900 W Temple Ave Ste 2500, Effingham, IL 62401-2121 | |
| (217) 540-2350 | |
| (217) 347-2323 |
| Full Name | Eduardo Vaca |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 6 Years |
| Location | 900 W Temple Ave Ste 2500, Effingham, 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 |
|---|---|---|---|
| 1902364508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301511546 (Michigan) | Secondary |
| 208600000X | Surgery | 036177274 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension St John Hospital | 3173424082 | 305 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo Vaca, MD 900 W Temple Ave Ste 2500, Effingham, IL 62401-2121 Ph: (217) 540-2350 | Eduardo Vaca, MD 900 W Temple Ave Ste 2500, Effingham, IL 62401-2121 Ph: (217) 540-2350 |
Dr. Kevin D Malone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1104 W Evergreen Ave, Effingham, IL 62401 Phone: 217-347-2500 Fax: 217-342-9775 | |
Lisa A Kowalski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-347-3033 | |
Jason J Mcallaster, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-342-4190 | |
Dr. Patrick Kyle Stewart, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Medical Park Dr Ste 100, Effingham, IL 62401 Phone: 217-347-7400 | |
Kevin A Calder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 W Temple Ave, Effingham, IL 62401 Phone: 217-540-2350 | |
Dr. Ruben D Boyajian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 West Temple Avenue, Building B - Suite 2500, Effingham, IL 62401 Phone: 217-347-2255 Fax: 217-342-6910 |