| Michael D Ottney, DO | |
|
707 N Logan Ave, Danville, IL 61832-4360 | |
| (217) 477-4748 | |
| (217) 444-4966 |
| Full Name | Michael D Ottney |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 707 N Logan Ave, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558460477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036102790 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036102790 (Illinois) | Primary |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730139031 PECOS PAC ID: 0244134682 Enrollment ID: O20031126000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Ottney, DO 707 N Logan Ave, Danville, IL 61832-4360 Ph: (217) 477-4748 | Michael D Ottney, DO 707 N Logan Ave, Danville, IL 61832-4360 Ph: (217) 477-4748 |
Susan Berg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 W. Fairchild, Danville, IL 61832 Phone: 217-431-7650 | |
Lucille Elizabeth Smallhorn, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 516 W Madison St, Danville, IL 61832 Phone: 217-962-1892 | |
Dr. Satyanarayana Ganapathi Raju, D.O., PH.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 806 Sheridan St, Danville, IL 61832 Phone: 217-442-3010 Fax: 217-442-3155 | |
Dr. Joyce Karen Brunt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-4560 | |
Aditya Birbal-jain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 W. Fairchild St., Danville, IL 61832 Phone: 217-431-7600 Fax: 217-431-7850 | |
Angie Aybar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 W Madison St Ste 406, Danville, IL 61832 Phone: 217-431-7650 | |
Dr. Mary Y Gindi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 511 W Fairchild St, Danville, IL 61832 Phone: 217-431-2025 Fax: 217-431-0014 |