| Michael Carroll, MD | |
|
602 W University Ave, Urbana, IL 61801-2530 | |
| (217) 383-3311 | |
| Not Available |
| Full Name | Michael Carroll |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 602 W University Ave, Urbana, 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 |
|---|---|---|---|
| 1457386351 | NPI | - | NPPES |
| 050021669 | Other | IL | RAILROAD NUMBER |
| 1457386351 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036084204 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 912 |
| 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 Carroll, MD 602 W University Ave, Urbana, IL 61801-2530 Ph: (217) 383-3311 | Michael Carroll, MD 602 W University Ave, Urbana, IL 61801-2530 Ph: (217) 383-3311 |
Dr. Walter Knoll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Dr. Jennifer Ann Hickman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3303 Fax: 217-383-3265 | |
Timothy Andrew Ade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Delbert Craig Klump, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Sadru A Dharamsy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 Fax: 217-383-3265 | |
Venugopal Polasani, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000 | |
Matthew Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 602 W. University Avenue, Anesthesiology, Urbana, IL 61801 Phone: 217-383-3141 |