Dr Brett Howard Herzog, MD PHD | |
1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 | |
(618) 607-1340 | |
(618) 622-9724 |
Full Name | Dr Brett Howard Herzog |
---|---|
Gender | Male |
Speciality | Medical Oncology |
Experience | 9 Years |
Location | 1418 Cross St, Shiloh, 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 |
---|---|---|---|
1023499282 | NPI | - | NPPES |
200063716 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036153509 (Illinois) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 036153509 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
Memorial Hospital | Belleville, IL | Hospital |
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington University Physicians In Illinois, Inc | 4789945163 | 99 |
Washington University | 9830008770 | 2516 |
Entity Name | Washington University Physicians In Illinois, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477076263 PECOS PAC ID: 4789945163 Enrollment ID: O20180227002018 |
Mailing Address | Practice Location Address |
---|---|
Dr Brett Howard Herzog, MD PHD 660 S Euclid Ave, Msc 8056-0004-07, Saint Louis, MO 63110-1010 Ph: (800) 647-2098 | Dr Brett Howard Herzog, MD PHD 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 Ph: (618) 607-1340 |
Dr. John L Visconti, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. Alfred O Greco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. Muhammad Farooq Asghar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Cross St Ste 2114, Shiloh, IL 62269 Phone: 618-233-2220 Fax: 618-233-2555 | |
Dr. Laura Ann Crandall, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1167 Fortune Blvd, Shiloh, IL 62269 Phone: 618-207-6900 Fax: 618-207-6901 | |
Jennifer Lynn Brenneman Neville, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St Ste 250, Shiloh, IL 62269 Phone: 618-236-8000 | |
Dr. William James Popovic, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 |