Dr Gerson A Criste, MD | |
1390 Hope Dr, Carbondale, IL 62901-5306 | |
(618) 351-4972 | |
(618) 351-6522 |
Full Name | Dr Gerson A Criste |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 24 Years |
Location | 1390 Hope Dr, Carbondale, 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 |
---|---|---|---|
1265698260 | NPI | - | NPPES |
P00785330 | Other | MN | RAILROAD MEDICARE |
3932056 | Other | IL | BCBS SIMS |
036120557 | Other | IL | STATE LICENSE NUMBER |
036120557 | Medicaid | IL | |
721089 | Other | IL | AETNA GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P2900X | Psychiatry & Neurology - Pain Medicine | 036120557 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Gerson A Criste, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Gerson A Criste, MD 1390 Hope Dr, Carbondale, IL 62901-5306 Ph: (618) 351-4972 |
Andrea Loggini, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Yasoda Modali, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 374 E.grand Ave, Siuc Student Health Center, Carbondale, IL 62901 Phone: 618-453-4346 Fax: 618-453-2347 | |
Alejandro Hornik, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Alaa Mohamed Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Simeon Grater, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 35 Albany Rd, Carbondale, IL 62903 Phone: 618-549-4688 | |
Ahmed H Jafri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 |