| Thomas G Detorres, PA-C | |
|
305 W Jackson St Ste 206, Carbondale, IL 62901-1474 | |
| (618) 457-3006 | |
| (618) 457-3007 |
| Full Name | Thomas G Detorres |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 305 W Jackson St Ste 206, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497820211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085000963 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G Detorres, PA-C 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-5467 | Thomas G Detorres, PA-C 305 W Jackson St Ste 206, Carbondale, IL 62901-1474 Ph: (618) 457-3006 |
Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Joeli Diemer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 | |
Ms. Nicole A Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835 | |
Virginie Zhang Qian, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-453-8850 | |
John Howard Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |