| Dr Udaya K Liyanage, MD | |
|
4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864-6705 | |
| (618) 899-9200 | |
| (618) 899-9206 |
| Full Name | Dr Udaya K Liyanage |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 4200 Williamson Pl Ste 1a, Mount Vernon, 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 |
|---|---|---|---|
| 1972548287 | NPI | - | NPPES |
| 036115674 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036115674 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Surgical Technology, Llc | 3274857685 | 11 |
| Entity Name | Advanced Surgical Technology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497159024 PECOS PAC ID: 3274857685 Enrollment ID: O20150113000768 |
| Entity Name | Ambulatory Surgery Center Of Centralia |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1508574518 PECOS PAC ID: 3476915323 Enrollment ID: O20230809003851 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Udaya K Liyanage, MD 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864-6705 Ph: (618) 899-9200 | Dr Udaya K Liyanage, MD 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864-6705 Ph: (618) 899-9200 |
Naresh Kumar Ahuja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864 Phone: 618-315-6466 Fax: 618-315-6469 | |
Kevin B Claffey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Mr. Steven J Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864 Phone: 618-899-3980 Fax: 618-899-4793 | |
Andrew Robert Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Kimberly Evonne Miller-hammond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 770-617-5556 | |
William Alan Bishop, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Alan Scott Harad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 |