| Randy R Isaacs, MD | |
|
1000 Health Center Dr, Mattoon, IL 61938-4644 | |
| (217) 238-4325 | |
| (217) 348-4290 |
| Full Name | Randy R Isaacs |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1000 Health Center Dr, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851385462 | NPI | - | NPPES |
| 1851385462 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036092462 (Illinois) | Secondary |
| 208000000X | Pediatrics | 70133-20 (Wisconsin) | Primary |
| Entity Name | Community Health Centers Of Southeastern Iowa Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy R Isaacs, MD Po Box 372, Mattoon, IL 61938-0372 Ph: (217) 258-2581 | Randy R Isaacs, MD 1000 Health Center Dr, Mattoon, IL 61938-4644 Ph: (217) 238-4325 |
Dr. David R Knox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2512 Hurst Dr., Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-5904 | |
Roza Ioffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Aamir S Ansari, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 100, Mattoon, IL 61938 Phone: 217-258-4006 Fax: 217-258-4120 | |
Rachel T Lape, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 Richmond Ave E Ste 4, Mattoon, IL 61938 Phone: 217-238-5345 Fax: 217-238-5348 | |
Mrs. Amy J Leifheit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-238-4325 Fax: 217-348-4290 | |
Dr. Nafees Khan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 | |
Kara Jolly, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 Richmond Ave E Ste 2, Mattoon, IL 61938 Phone: 217-234-7000 Fax: 217-238-5484 |