| Hayley Harris Martins, DO | |
|
4103 S Water Tower Pl, Mount Vernon, IL 62864-6293 | |
| (618) 899-3513 | |
| Not Available |
| Full Name | Hayley Harris Martins |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 13 Years |
| Location | 4103 S Water Tower Pl, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023375433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036150950 (Illinois) | Primary |
| 208000000X | Pediatrics | BP1-0042813 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Hospital Centralia Illinois | 6709788920 | 38 |
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 103 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Hayley Harris Martins, DO Po Box 955860, Saint Louis, MO 63195-5860 Ph: (636) 498-5944 | Hayley Harris Martins, DO 4103 S Water Tower Pl, Mount Vernon, IL 62864-6293 Ph: (618) 899-3513 |
Dr. Neeta B Kaushal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4107 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-242-5437 | |
Dr. Ahmed Sayed Youssef, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1007 S 42nd St Ste 1, Mount Vernon, IL 62864 Phone: 161-899-3040 | |
David L Deloso, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2920 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-244-6544 Fax: 618-244-6577 | |
Marjorie Mabong Nwosu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3505 Broadway, Mount Vernon, IL 62864 Phone: 618-242-3495 Fax: 618-241-8775 |