| Kyle Robert Hadden, MD | |
|
15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 | |
| (217) 243-0300 | |
| (217) 245-6775 |
| Full Name | Kyle Robert Hadden |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 15 Founders Ln Ste 100, Jacksonville, 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 |
|---|---|---|---|
| 1962996280 | NPI | - | NPPES |
| 036156659 | Other | IL | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036156659 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring V | Springfield, IL | Home health agency |
| Celtic Healthcare Of S. Il, Llc | Shiloh, IL | Home health agency |
| Memorial Medical Center | Springfield, IL | Hospital |
| Illini Community Hospital | Pittsfield, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Physician Services | 9032005681 | 155 |
| Entity Name | Memorial Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Robert Hadden, MD 15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 Ph: (217) 243-0300 | Kyle Robert Hadden, MD 15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 Ph: (217) 243-0300 |
John L. Malcott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-243-9030 | |
Dr. John Andrew Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W State St, Jacksonville, IL 62650 Phone: 217-243-9471 Fax: 217-243-5359 | |
Dr. Marshall T Hale, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Agnes A Wood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. James Anthony Bohan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Mosam B Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. Michelle Colen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln Ste 100, Jacksonville, IL 62650 Phone: 217-243-0300 Fax: 217-245-6775 |