Behfar Dianati, MD | |
4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | |
(618) 257-6200 | |
(618) 257-6679 |
Full Name | Behfar Dianati |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 4550 Memorial Dr, Belleville, 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 |
---|---|---|---|
1558580852 | NPI | - | NPPES |
207340605 | Medicaid | MO | |
1558580852 | Medicaid | IL | |
036124202 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036124202 (Illinois) | Primary |
208M00000X | Hospitalist | 036124202 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bjc Hospice | Alton, IL | Hospice |
Osf Saint Anthony's Health Center | Alton, IL | Hospital |
Christian Hospital Northeast | Saint louis, MO | Hospital |
River Crossing Of Alton | Alton, IL | Nursing home |
Alton Memorial Rehab & Therapy | Alton, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America-illinois Hospitalists, Llp | 3274765904 | 111 |
Cep America - Illinois Snf Llp | 8022306737 | 7 |
Entity Name | Cep America-illinois Hospitalists, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
Entity Name | Cep America Illinois Intensivists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821641499 PECOS PAC ID: 0345535449 Enrollment ID: O20160829002157 |
Entity Name | Cep America - Illinois Snf Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
Mailing Address | Practice Location Address |
---|---|
Behfar Dianati, MD 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 Ph: (618) 257-6200 | Behfar Dianati, MD 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 Ph: (618) 257-6200 |
Dr. Dennis P Larson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502 | |
Kathleen K Fournier, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Eldon Trame, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475 | |
Anand P. Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Eduardo Martinez-barrios, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4600 Memorial Dr, Suite 120, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Kashif Shahzad Bhutto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Dr. David Nelson Pfohl, MD, FACP, GAQ Internal Medicine Medicare: Medicare Enrolled Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518 |