| Tomas Carlos Vegas, MD | |
|
311 W. Fairchild St., Convenient Care, Danville, IL 61832-3803 | |
| (217) 431-7600 | |
| (217) 431-7850 |
| Full Name | Tomas Carlos Vegas |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 311 W. Fairchild St., Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629277306 | NPI | - | NPPES |
| P00447712 | Other | IN | RR MEDICARE |
| 200868520 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01062766A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 036138260 (Illinois) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| 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 |
|---|---|
| Tomas Carlos Vegas, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Tomas Carlos Vegas, MD 311 W. Fairchild St., Convenient Care, Danville, IL 61832-3803 Ph: (217) 431-7600 |
Susan Berg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 W. Fairchild, Danville, IL 61832 Phone: 217-431-7650 | |
Lucille Elizabeth Smallhorn, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 516 W Madison St, Danville, IL 61832 Phone: 217-962-1892 | |
Dr. Satyanarayana Ganapathi Raju, D.O., PH.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 806 Sheridan St, Danville, IL 61832 Phone: 217-442-3010 Fax: 217-442-3155 | |
Dr. Joyce Karen Brunt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-4560 | |
Aditya Birbal-jain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 W. Fairchild St., Danville, IL 61832 Phone: 217-431-7600 Fax: 217-431-7850 | |
Angie Aybar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 W Madison St Ste 406, Danville, IL 61832 Phone: 217-431-7650 | |
Dr. Mary Y Gindi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 511 W Fairchild St, Danville, IL 61832 Phone: 217-431-2025 Fax: 217-431-0014 |