Steven M Beatty, M.D.
Individual provider Active NPI Internal Medicine Physician · Anna, IL
NPI 1851399232 · NPPES record last updated Apr 25, 2016
Key facts
- NPI
- 1851399232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036-068672 (IL)
- Practice address
- 513 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-4471
- Fax
- (618) 833-6267
- NPI assigned
- Jul 11, 2005
- Reactivated
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101000080 | IL | Practitioner - Internal Medicine | 8527020742 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-068672 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Veterans Home at Anna | Current |
Accepting new patients |
Locations
792 N Main St
Anna, IL 62906
Phone (618) 280-4056
792 N Main St
Bldg M
Anna, IL 62906
Phone (618) 833-6302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-068672 | IL | Yes |
Addresses
Primary practice location
513 N Main St
Anna, IL 62906-1668
Mailing address
513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110152598 | Other | IL | UNITED HEALTHCARE RR MEDI |
| C39851 | Other | IL | CHAMPVA |
| 028006 | Other | IL | HEALTH ALLIANCE |
| 036068672 | Other | IL | IDPA FEE FOR SERVICE |
| C39851 | Other | IL | TRICARE |
| 126592 | Other | IL | HEALTHLINK |
| C39851 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036-068672 | Medicaid | IL | |
| P00150939 | Other | RAIL ROAD MEDICARE |
Other providers in Anna, IL
- Halley M Barke
- Anthony Shane Barker
- Olivia Leann Barker
- Keith Samuel Bass
- Nancy L Bass
- Danece Lynn Bennett
- Tessa Lea Binversie
- Randall D Boen
- Russell Gene Boester
- Richard Bolton
All providers in Anna, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.