| Timothy Moran, MD | |
|
500 W Court St, Kankakee, IL 60901-3661 | |
| (815) 937-2100 | |
| Not Available |
| Full Name | Timothy Moran |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 500 W Court St, Kankakee, 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 |
|---|---|---|---|
| 1457535759 | NPI | - | NPPES |
| 036076975 | Medicaid | IL | |
| 4622394 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-076975 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presence St Marys Hospital | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Moran, MD 555 W Court St, Suite 410, Kankakee, IL 60901-3664 Ph: (888) 828-3193 | Timothy Moran, MD 500 W Court St, Kankakee, IL 60901-3661 Ph: (815) 937-2100 |
Dr. Vernell Johnson Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
Dr. Thaddeus Manczko, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Steven Decker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Brian Crowley, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
John Lacheta, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Michael Murphy, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 |