| Vernon Koto, MD | |
|
701 E. Orange St., Hoopeston, IL 60942-1801 | |
| (217) 283-5531 | |
| (217) 283-7981 |
| Full Name | Vernon Koto |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 45 Years |
| Location | 701 E. Orange St., Hoopeston, 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 |
|---|---|---|---|
| 1902843733 | NPI | - | NPPES |
| 930105285 | Other | IL | RRMCR |
| 0360661121 | Medicaid | IL | |
| 01620446 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 36066112 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Hoopeston Regional Health Center | Hoopeston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoopeston Emergency Medicine Specialists Ltd | 0941102446 | 12 |
| Entity Name | Hoopeston Emergency Medicine Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316965197 PECOS PAC ID: 0941102446 Enrollment ID: O20040124000083 |
| 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 | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Koto, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Vernon Koto, MD 701 E. Orange St., Hoopeston, IL 60942-1801 Ph: (217) 283-5531 |
Dr. Aslam Ahmed Mohammed, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E. Orange St, Hoopeston, IL 60942 Phone: 217-283-5644 Fax: 217-283-7432 |