| Dr Brent D Parry, DPM | |
|
180 S Main St, Canton, IL 61520-2608 | |
| (309) 647-0201 | |
| (309) 649-6880 |
| Full Name | Dr Brent D Parry |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 28 Years |
| Location | 180 S Main St, Canton, 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 |
|---|---|---|---|
| 1891794004 | NPI | - | NPPES |
| 016004894 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016004894 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016004894 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Graham Hospital Association | Canton, IL | Hospital |
| Mason District Hospital | Havana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mason Hospital District | 2466360607 | 37 |
| Graham Hospital Association | 2769375021 | 112 |
| Provider Name | Mason Hospital District |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
| Provider Name | Graham Hospital Association |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
| Provider Name | Acpm Podiatry Group, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730261363 PECOS PAC ID: 7618975798 Enrollment ID: O20061128000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent D Parry, DPM 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Dr Brent D Parry, DPM 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
Dr. Jake Ruff, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 096-470-2013 Fax: 309-649-6880 |