| Michael A Novak, MD | |
|
611 W Park St, Sc2, Urbana, IL 61801-2529 | |
| (217) 383-3130 | |
| (217) 383-4451 |
| Full Name | Michael A Novak |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134238694 | NPI | - | NPPES |
| 0533210001 | Other | IL | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036063474 (Illinois) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Novak, MD 611 W Park St, Bwpc, Urbana, IL 61801-2529 Ph: (217) 383-6792 | Michael A Novak, MD 611 W Park St, Sc2, Urbana, IL 61801-2529 Ph: (217) 383-3130 |
Dr. Jacob A. Stelle, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Ent, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 | |
Vicki Prell, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Muhamad Amine, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Ent, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 | |
Dr. Ryan G Porter Sr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Sc2, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 | |
Charles R Maris, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Otolaryngology, Urbana, IL 61801 Phone: 217-383-3130 Fax: 217-383-4451 |