| Mr Robert Thomas Dinga, PA-C | |
|
502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 | |
| (618) 937-3400 | |
| (618) 997-9324 |
| Full Name | Mr Robert Thomas Dinga |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 502 W Saint Louis St Ste 4, West Frankfort, 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 |
|---|---|---|---|
| 1992894703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085002315 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Herrin Hospital | Herrin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 331 |
| Logan Primary Care Service Corp. | 8628967064 | 33 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Thomas Dinga, PA-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Mr Robert Thomas Dinga, PA-C 502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 Ph: (618) 937-3400 |
Mr. Ryan Patrick Clark, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-2200 |
Ms. Angela H Henson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 310 West St. Louis Street, West Frankfort, IL 62896 Phone: 618-993-0404 Fax: 618-993-1717 |
Mr. Jason Dorris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 W Saint Louis St Ste B, West Frankfort, IL 62896 Phone: 618-932-2200 |
David Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 |
Alicia D Markley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734 |
Amy Stacey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 |
Max A Baier, NP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734 |