| Mark Timothy Monahan, MD | |
|
403 E 1st St, Dixon, IL 61021-3116 | |
| (815) 288-5531 | |
| (815) 285-5558 |
| Full Name | Mark Timothy Monahan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 403 E 1st St, Dixon, 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 |
|---|---|---|---|
| 1518998327 | NPI | - | NPPES |
| 4782693 | Medicaid | MI | |
| 036109925 | Other | IL | PHYSICIAN LICENSE |
| 200432460 | Medicaid | IN | |
| 000000282214 | Other | IN | ANTHEM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01057437A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 036107925 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Community Hospital Of Bremen Inc | Bremen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Bend Emergency Physicians Inc | 0941282354 | 48 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Woodlawn Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043 |
| Entity Name | North Indiana Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144691478 PECOS PAC ID: 5496064669 Enrollment ID: O20151029001047 |
| Entity Name | South Bend Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Timothy Monahan, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 288-5531 | Mark Timothy Monahan, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 288-5531 |
Marie Nowak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5531 Fax: 815-285-5558 | |
Brian D Johnson, FNP-BC Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 841 N Galena Ave, Suite 200, Dixon, IL 61021 Phone: 815-285-2273 Fax: 815-285-2276 | |
Joann M Zarnke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 | |
Uyen Nguyen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5531 Fax: 815-285-5558 | |
Dr. Jonathan A Ortman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 | |
Chris A Herbert, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5531 Fax: 815-285-5558 |