Dr Brian Reza Poustinchian, DO | |
300 Randall Rd, Geneva, IL 60134-4200 | |
(630) 208-3000 | |
(630) 762-7882 |
Full Name | Dr Brian Reza Poustinchian |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 14 Years |
Location | 300 Randall Rd, Geneva, 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 |
---|---|---|---|
1649591371 | NPI | - | NPPES |
206147 | Other | IL | MEDICARE PTAN (GROUP) |
P01248045 | Other | IL | MEDICARE RAILROAD PTAN (INDIVIDUAL) |
206147241 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
CA4748 | Other | IL | MEDICARE RAILROAD PTAN (GROUP) |
036131483 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036131483 (Illinois) | Secondary |
207R00000X | Internal Medicine | 125058545 (Illinois) | Secondary |
208M00000X | Hospitalist | 036.131483 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Delnor Community Hospital | Geneva, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Reza Poustinchian, DO 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 208-3000 | Dr Brian Reza Poustinchian, DO 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 208-3000 |
Dr. Josephine Soyoung Lee-kim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 | |
Nimit Desai, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 351 Delnor Dr Ste 351, Geneva, IL 60134 Phone: 630-232-0280 Fax: 630-232-3896 | |
Dr. Andrew Westfall, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 | |
Himabala Medasani, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-933-4700 Fax: 630-933-4427 |