| Edward Orestes Obrien, MD | |
|
611 W Park St, Urbana, IL 61801-2501 | |
| (217) 383-3311 | |
| Not Available |
| Full Name | Edward Orestes Obrien |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 28 Years |
| Location | 611 W Park St, Urbana, 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 |
|---|---|---|---|
| 1891716254 | NPI | - | NPPES |
| 00A687540 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A68754 (California) | Primary |
| 207L00000X | Anesthesiology | 036177179 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San diego, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California | 3577476761 | 1890 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376646869 PECOS PAC ID: 3577476761 Enrollment ID: O20031112000695 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356444897 PECOS PAC ID: 3577476761 Enrollment ID: O20040109000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Orestes Obrien, MD 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3311 | Edward Orestes Obrien, MD 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3311 |
Dr. Walter Knoll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Dr. Jennifer Ann Hickman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Timothy Andrew Ade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Delbert Craig Klump, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Sadru A Dharamsy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 Fax: 217-383-3265 | |
Venugopal Polasani, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000 | |
Matthew Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 |