| Ista Ariane Egbeto, MD | |
|
2 Memorial Dr Fl 1, Decatur, IL 62526-3950 | |
| (217) 872-2930 | |
| (217) 872-2979 |
| Full Name | Ista Ariane Egbeto |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 5 Years |
| Location | 2 Memorial Dr Fl 1, Decatur, 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 |
|---|---|---|---|
| 1962080754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036174078 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siu Physicians And Surgeons Inc | 2365352820 | 316 |
| Soderstrom Dermatology Center S C | 2062432651 | 33 |
| Mailing Address | Practice Location Address |
|---|---|
| Ista Ariane Egbeto, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000 | Ista Ariane Egbeto, MD 2 Memorial Dr Fl 1, Decatur, IL 62526-3950 Ph: (217) 872-2930 |
Dr. Robert Gibson Carney Jr., M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1770 E Lake Shore Dr, Suite #301, Decatur, IL 62521 Phone: 217-429-2636 Fax: 217-429-2687 | |
Dr. Francis Chaepoong Lee, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 606 W Pershing Rd, Suite E, Decatur, IL 62526 Phone: 217-877-7171 Fax: 217-877-7481 | |
Dr. Debra Babich, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063 |