Deanna Fae Ducomb, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0001405329 Issued in IL

Practice address

1210 Jefferson St
Carlyle, IL 62231-1323

Phone

(618) 594-2454

Fax

(618) 594-2404

NPI assigned

Sep 15, 2005

Sex

Female

Sole proprietor

Yes

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation Hospital
• St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

  • Rural Health Clinic/Center
  • Breese, IL
  • NPI 1013002658
  Care Compare affiliation Hospital
• St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

  • General Acute Care Hospital
  • Breese, IL
  • NPI 1457319154
  Care Compare affiliation Hospital

Specialty

Dermatology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• St Josephs Hospital Hospital, Breese, IL, CCN 140145

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124013107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 JEFFERSON ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311323",
            "telephone_number": "618-594-2454",
            "fax_number": "618-594-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 JEFFERSON ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311323",
            "telephone_number": "618-594-2454",
            "fax_number": "618-594-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOMB",
        "first_name": "DEANNA",
        "middle_name": "FAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "0001405329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Resource Center Inc.
• Community Resource Center Inc.
• Seth Alan Crocker, RPH
• Rebekah L. Donnelly, AUD
• Sarah Jo Dorr, MA
• Jackie Ann Duplayee, MSW, LCSW
• Stacy L Eilermann, PT
• Eye Care Management, LLC
• Jennifer L Felchlia, APRN
• Debra A Foppe, RN

• All providers in Carlyle, IL
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.