| Memorial Management Inc | |
|
3331 W Deyoung St Suite 105 Marion IL 62959-5896 | |
| (618) 997-9496 | |
| Not Available |
| Full Name | Memorial Management Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3331 W Deyoung St, Marion, Illinois |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Management Inc 1573 Mallory Ln Ste 100 Brentwood TN 37027-2895 Ph: (152) 221-1400 | Memorial Management Inc 3331 W Deyoung St Suite 105 Marion IL 62959-5896 Ph: (618) 997-9496 |
| NPI Number | 1720087950 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 8325951031 |
|---|---|
| Medicare Enrollment ID | O20031110000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720087950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| Provider Name | Todd J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760426316 PECOS PAC ID: 1052386067 Enrollment ID: I20040901000487 |
| Provider Name | Sujatha A Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356420368 PECOS PAC ID: 7214900513 Enrollment ID: I20041004000602 |
| Provider Name | Craig A Beyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437134731 PECOS PAC ID: 3678540796 Enrollment ID: I20041108000512 |
| Provider Name | Gladstone A Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023087012 PECOS PAC ID: 0345293833 Enrollment ID: I20050225000445 |
| Provider Name | Michael K Delaney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851394522 PECOS PAC ID: 8224082763 Enrollment ID: I20050308001048 |
| Provider Name | Ronald Chediak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184627861 PECOS PAC ID: 1254230055 Enrollment ID: I20050412001193 |
| Provider Name | Kevin B Claffey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144226085 PECOS PAC ID: 0446203681 Enrollment ID: I20050421000578 |
| Provider Name | Robert Lawrence Hatchett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336210624 PECOS PAC ID: 3678479508 Enrollment ID: I20051227000080 |
| Provider Name | Patrick L Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730133505 PECOS PAC ID: 8325059413 Enrollment ID: I20060607000018 |
| Provider Name | Syed Hassan Khalid Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942226949 PECOS PAC ID: 2466455738 Enrollment ID: I20060808000013 |
| Provider Name | Alan S Harad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679579510 PECOS PAC ID: 7416951074 Enrollment ID: I20060913000230 |
| Provider Name | Medhat Elsherbini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881603132 PECOS PAC ID: 8820094923 Enrollment ID: I20061012000581 |
| Provider Name | Anthony C Vacca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497797401 PECOS PAC ID: 3173628864 Enrollment ID: I20070425000560 |
| Provider Name | Terri L Braddock-hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477637551 PECOS PAC ID: 5092811091 Enrollment ID: I20070508000700 |
| Provider Name | Michael J Hicks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417142449 PECOS PAC ID: 0446347587 Enrollment ID: I20071106000395 |
| Provider Name | Richard L Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972607604 PECOS PAC ID: 8123003860 Enrollment ID: I20100722000755 |
| Provider Name | Deedra G Mclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770635062 PECOS PAC ID: 9234315029 Enrollment ID: I20110511000733 |
| Provider Name | Michelle Deane Mc Lain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104102474 PECOS PAC ID: 2668619271 Enrollment ID: I20130517000511 |
| Provider Name | Richard H. Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679521827 PECOS PAC ID: 9335331974 Enrollment ID: I20130711000472 |
| Provider Name | Silpa Maddala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982917373 PECOS PAC ID: 7911131016 Enrollment ID: I20131003000075 |
| Provider Name | Carlos Rafael Gonzalez Rendon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467688879 PECOS PAC ID: 5597903468 Enrollment ID: I20140722002250 |
| Provider Name | Earl Hamilton Rudolph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487851481 PECOS PAC ID: 2466641618 Enrollment ID: I20150113002515 |
| Provider Name | Marie Jane Gorski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841374873 PECOS PAC ID: 8729068788 Enrollment ID: I20160104002191 |
| Provider Name | Robert M Swayze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487014627 PECOS PAC ID: 9931406493 Enrollment ID: I20160328002065 |
| Provider Name | Amit Wasudeo Bhandarkar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962711937 PECOS PAC ID: 3678753720 Enrollment ID: I20160412001675 |
| Provider Name | Renee B Feather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528478559 PECOS PAC ID: 0244505139 Enrollment ID: I20171003004834 |
| Provider Name | Amy M Quertermous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265943591 PECOS PAC ID: 3779840848 Enrollment ID: I20171127003339 |
| Provider Name | Yazan Abu Qwaider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356377816 PECOS PAC ID: 4587699707 Enrollment ID: I20171205001361 |
| Provider Name | Rhonda Raye Heatherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073048120 PECOS PAC ID: 3274892344 Enrollment ID: I20180117002389 |
| Provider Name | Amar Nath Mukerji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750624045 PECOS PAC ID: 7214264175 Enrollment ID: I20190815000119 |
| Provider Name | Harish Kempegowda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205280922 PECOS PAC ID: 7517232440 Enrollment ID: I20190903000343 |
| Provider Name | Lawrence G Splitter |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1508881491 PECOS PAC ID: 7214094861 Enrollment ID: I20200114000816 |
| Provider Name | Asim Qureshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235665811 PECOS PAC ID: 5698197028 Enrollment ID: I20200612000391 |
Michael P Lawler Md S Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St Ste 3, Marion, IL 62959 Phone: 618-967-7660 | |
Dr. James T. Lawler M.d. S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 N Carbon St, Marion, IL 62959 Phone: 618-518-7700 | |
Deaconess Illinois Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3411 Professional Park Dr, Marion, IL 62959 Phone: 618-969-8630 Fax: 618-969-8639 | |
Southern Spine & Rehab, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1616 W Main St Ste 200, Marion, IL 62959 Phone: 618-772-2999 | |
Marion Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1028 N Market St, Marion, IL 62959 Phone: 618-993-8913 Fax: 618-997-2867 | |
Simca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3331 W Deyoung St, Suite 305, Marion, IL 62959 Phone: 618-998-7000 | |
Deaconess Il Specialty Express 2700 Deyoung Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 W Deyoung St Ste F, Marion, IL 62959 Phone: 618-969-8633 Fax: 618-969-8639 |