Dr Gail D Williamson, MD | |
762 E Chestnut St, Canton, IL 61520-2845 | |
(309) 353-6301 | |
(844) 813-1772 |
Full Name | Dr Gail D Williamson |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 762 E Chestnut St, Canton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376597732 | NPI | - | NPPES |
036078962 | Medicaid | IL | |
09015685 | Other | IL | BLUE CROSS BLUE SHIELD |
110173926 | Other | IL | RAIL ROAD MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036078962 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036078962 (Illinois) | Primary |
Entity Name | Comfort Plus Hospice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053619734 PECOS PAC ID: 3072791730 Enrollment ID: O20210503002155 |
Mailing Address | Practice Location Address |
---|---|
Dr Gail D Williamson, MD 12323 Towerline Rd, Pekin, IL 61554-8715 Ph: (309) 620-3381 | Dr Gail D Williamson, MD 762 E Chestnut St, Canton, IL 61520-2845 Ph: (309) 353-6301 |
John M Mccarthy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8949 | |
Jimmie Marquette Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Dr. Philip James Mead, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-672-5682 Fax: 309-672-3147 |