| Kevin M Oliver, DO | |
|
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
| (217) 464-2973 | |
| Not Available |
| Full Name | Kevin M Oliver |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 1800 E Lake Shore Dr, Decatur, 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 |
|---|---|---|---|
| 1477549020 | NPI | - | NPPES |
| 036116436 | Medicaid | IL | |
| 243001013 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R8J38 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | R8J38 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 036-116436 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Hospital Center | Columbia, MO | Hospital |
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden Emergency Group Llc | 2961665369 | 24 |
| Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 76 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Camden Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Oliver, DO 785 Stevens Creek Boulevard, Forsyth, IL 62535-9741 Ph: (217) 875-0717 | Kevin M Oliver, DO 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2973 |
Gabriel Munoz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Gerald A Snyder, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Terry Balagna, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Phillip Barnell, M.D., FAAFP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Dr. Edward Leon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Emergency Dept, Decatur, IL 62526 Phone: 217-876-3000 | |
Koleen Barnell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Jose Reyes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |