| Vera Helena Masutti, DO | |
|
800 Biesterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 | |
| (847) 437-5500 | |
| (630) 734-1560 |
| Full Name | Vera Helena Masutti |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 800 Biesterfield Rd, Elk Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073597142 | NPI | - | NPPES |
| 036083100 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02003618A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 036083100 (Illinois) | Primary |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Vera Helena Masutti, DO Po Box 87904, Dept 2049, Carol Stream, IL 60188 Ph: (630) 734-0200 | Vera Helena Masutti, DO 800 Biesterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 Ph: (847) 437-5500 |
John M Ortinau, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Bisterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 Phone: 847-437-5500 Fax: 630-734-1560 | |
Samantha Spencer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Bisterfield Road, Alexian Brothers Medical Center, Elk Grove, IL 60007 Phone: 847-437-5500 Fax: 630-734-1560 | |
Mark J Gordon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Bisterfield Road, Alexian Brothers Medical Center, Elk Grove, IL 60007 Phone: 847-437-5500 Fax: 630-734-1560 | |
Tighe M Zimmers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Bisterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 Phone: 847-437-5500 Fax: 630-734-1560 |