| Timothy E Morthland, MD | |
|
100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 | |
| (618) 253-7671 | |
| Not Available |
| Full Name | Timothy E Morthland |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 100 Dr Warren Tuttle Dr, Harrisburg, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255375515 | NPI | - | NPPES |
| 036114335 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-114335 (Illinois) | Primary |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Trinity Medical Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy E Morthland, MD Po Box 159, West Frankfort, IL 62896-0159 Ph: (618) 218-3560 | Timothy E Morthland, MD 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 Ph: (618) 253-7671 |
Brent M Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859 | |
Dr. Matthew C Winkleman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 | |
Dr. Roger D Watters, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 | |
Mr. Steven D Knight, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 | |
Dr. Laura M Winkleman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859 | |
Mr. Larry R Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 |