Morgan    Scully    MD
Contract Details
Metro Infectious Disease Consultants
Facility name
Provider ID
P000000001
NPI
1477996734
Tax ID
363966745
Effective Date
3/16/2023
Last Updated
3/17/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
20 Hughes Road Suite 103
Madison, AL 35758
United States
Phone
8882206432 (Phone)
Billing Details
Address
901 McClinktock Drive
Suite 202
Burr Ridge, IL 60527
Billing Phone
6306556748
Specialty Type
Infectious Diseases
Map
Address