| Samuel Dalton Capouch, MD | |
|
301 N 8th St, Springfield, IL 62701-1041 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Samuel Dalton Capouch |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 6 Years |
| Location | 301 N 8th St, Springfield, 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 |
|---|---|---|---|
| 1326501750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036164600 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Memorial Hospital | 6204731144 | 155 |
| Entity Name | Decatur Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Dalton Capouch, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Samuel Dalton Capouch, MD 301 N 8th St, Springfield, IL 62701-1041 Ph: (217) 528-7541 |
Madeleine Elizabeth Brindle, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 319 E Madison St Fl 3, Springfield, IL 62701 Phone: 217-545-8229 Fax: 217-545-2275 | |
Jacob Manoj Kitchener, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 421 N 9th St, Springfield, IL 62702 Phone: 217-757-6868 Fax: 177-576-8672 | |
Dr. Kripakaran M Puvalai, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1124 South Sixth Street, Springfield, IL 62703 Phone: 217-523-3143 Fax: 217-523-7695 | |
Dr. Basar Cenik, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-747-1351 | |
Dr. Oyoyo Francess Sawyer, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 319 E Madison St Fl 3, Springfield, IL 62701 Phone: 217-545-8229 Fax: 217-545-2275 | |
Desiree Marie Edmondson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Fl 3, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-2275 | |
James M Gilchrist, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 751 N Rutledge St, Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7363 |