| Thomas L Minogue, MD | |
|
200 Lerna Road South, Mattoon, IL 61938 | |
| (217) 258-5900 | |
| (217) 258-5904 |
| Full Name | Thomas L Minogue |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 200 Lerna Road South, 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 |
|---|---|---|---|
| 1548284979 | NPI | - | NPPES |
| 036041833 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036041833 (Illinois) | Primary |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas L Minogue, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Thomas L Minogue, MD 200 Lerna Road South, Mattoon, IL 61938 Ph: (217) 258-5900 |
Dr. Maria Belen Lawless, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 107, Mattoon, IL 61938 Phone: 217-258-4096 Fax: 217-238-5485 | |
Fatima Alao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 107, Mattoon, IL 61938 Phone: 217-258-4096 Fax: 217-238-5485 | |
Dr. Elbert C. Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1005 Health Center Drive, Suite 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053 | |
Johnathon Prentice Yost, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2397 Fax: 217-258-2107 | |
Dr. Kenneth John Troxclair, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2397 Fax: 217-258-2107 |