Dr Chante Thanh Trinh, MD | |
201 S 14th St, Herrin, IL 62948-3631 | |
(618) 942-2171 | |
(618) 988-6186 |
Full Name | Dr Chante Thanh Trinh |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 201 S 14th St, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093827727 | NPI | - | NPPES |
036110916 | Medicaid | IL | |
03932025 | Other | IL | BCBS IL |
3932056 | Other | IL | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 036-110916 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 036-110916 (Illinois) | Primary |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | Integritas Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Entity Name | Midwest Emergency Sparta, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194162370 PECOS PAC ID: 0345481255 Enrollment ID: O20130718000343 |
Entity Name | Granite City Emergency Medicine Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861946626 PECOS PAC ID: 7012205784 Enrollment ID: O20161012001300 |
Entity Name | App Of Illinois Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
Mailing Address | Practice Location Address |
---|---|
Dr Chante Thanh Trinh, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 942-2171 | Dr Chante Thanh Trinh, MD 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Levite Judah Biddle, PARAMEDIC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3224 S Park Ave, Herrin, IL 62948 Phone: 618-740-0949 | |
Dr. Alan John Wilson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Dr. Eric A Ruebke, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 | |
Jaswant S Sidhu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Dobroslawa Reschke, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Dr. Joshua James Miksanek, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 | |
Scott Wesley Cranick, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 |