| Maria I Al-basha, MD | |
|
1639 N Alpine Rd, Rockford, IL 61107-1449 | |
| (815) 229-9333 | |
| Not Available |
| Full Name | Maria I Al-basha |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 40 Years |
| Location | 1639 N Alpine Rd, Rockford, 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 |
|---|---|---|---|
| 1922199967 | NPI | - | NPPES |
| 036079495 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036079495 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish American Hospital | Rockford, IL | Hospital |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edgebrook Dermatology P.c. | 3476650060 | 4 |
| Entity Name | Edgebrook Dermatology P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225184948 PECOS PAC ID: 3476650060 Enrollment ID: O20070516000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria I Al-basha, MD Po Box 775541, Chicago, IL 60677-5541 Ph: () - | Maria I Al-basha, MD 1639 N Alpine Rd, Rockford, IL 61107-1449 Ph: (815) 229-9333 |
Albert W. Hudson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277 | |
Amy L Brodsky, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5995 Spring Creek Rd, Rockford, IL 61114 Phone: 815-977-4403 | |
Dr. Melissa L Stenstrom, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd, Suite 205, Rockford, IL 61107 Phone: 815-484-9900 Fax: 815-487-4949 | |
Paul Revis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1055 Featherstone Rd, Rockford, IL 61107 Phone: 815-227-1055 | |
Dr. Lakimerly Michelle Coates, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4338 Morsay Dr, Rockford, IL 61107 Phone: 815-399-6400 Fax: 815-399-4424 |