Dr Anthony N Sodd, MD | |
1 Good Samaritan Way, Attn: Radiology Dept, Mount Vernon, IL 62864-2402 | |
(618) 242-4600 | |
Not Available |
Full Name | Dr Anthony N Sodd |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1 Good Samaritan Way, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467407999 | NPI | - | NPPES |
300138686 | Other | IL | RAILROAD ST JOE & UTLAH |
036107586-1 | Medicaid | IL | |
300138685 | Other | IL | RAILROAD GOOD SAM & ST MARY'S |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 36107586 (Illinois) | Primary |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Hshs Holy Family Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205850690 PECOS PAC ID: 7517879349 Enrollment ID: O20040216000198 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony N Sodd, MD Po Box 2153 Dept 20002, Birmingham, AL 35287-0001 Ph: (877) 465-0012 | Dr Anthony N Sodd, MD 1 Good Samaritan Way, Attn: Radiology Dept, Mount Vernon, IL 62864-2402 Ph: (618) 242-4600 |
Kent S Quinn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Good Samaritan Way, Attn Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 Fax: 618-242-4600 | |
Dr. Neetin C Patel, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
John Ryan Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Jerrold C Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Graeme Donald Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4117 Veterans Memorial Drive, Mount Vernon, IL 62864 Phone: 618-241-7016 | |
Dr. Zuhair Mohammad Elzimmili, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 877-465-0012 Fax: 303-438-1351 |