| Miss Larisa Georgy Ciatlos-deak, MD | |
|
4965 E Lost Bridge Rd, Decatur, IL 62521-5139 | |
| (217) 864-5531 | |
| (217) 864-2449 |
| Full Name | Miss Larisa Georgy Ciatlos-deak |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 4965 E Lost Bridge Rd, Decatur, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497283774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036153610 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
| St Marys Hospital | Decatur, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hshs Medical Group Inc | 5092857821 | 181 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Larisa Georgy Ciatlos-deak, MD 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 Ph: (217) 864-5531 | Miss Larisa Georgy Ciatlos-deak, MD 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 Ph: (217) 864-5531 |
Dr. Saranya Tharmakulasingam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Mehrdad Jelodar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3811 Fax: 217-872-0849 | |
Dr. Mohammed J Ahmed, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Amna Karim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Dr. Brooke Nicole Ballard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 Fax: 217-864-2449 | |
Dr. Mohammud Baleegh, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 | |
Amisha Kamath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 |