Mark Thomas Behnam, MD | |
800 E Locust St, Olney, IL 62450-2553 | |
(618) 392-1131 | |
(618) 395-5117 |
Full Name | Mark Thomas Behnam |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 800 E Locust St, Olney, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992995591 | NPI | - | NPPES |
0291725 | Other | WA | STATE L&I |
036136070 | Medicaid | IL | |
0333366 | Other | WA | STATE L&I |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Kittitas County Public Hospital Dist 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
Mailing Address | Practice Location Address |
---|---|
Mark Thomas Behnam, MD 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 392-1131 | Mark Thomas Behnam, MD 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 392-1131 |
Dr. William R Padgett Jr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Dr. Rise Carol Hatten, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1120 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Nona P Fulk, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-392-9520 Fax: 618-395-5117 |