| Tamara Buckles, MD | |
|
2601 W Main St, Carbondale, IL 62901-1031 | |
| (618) 549-5361 | |
| (618) 351-4878 |
| Full Name | Tamara Buckles |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2601 W Main St, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821145715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036137494 (Illinois) | Primary |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Buckles, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: () - | Tamara Buckles, MD 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361 |
Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Dr. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549 | |
Dr. Amanda Jane Bleichner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Paul F Ploegman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-8687 Fax: 618-529-8688 |