Dr Mashfiq Mamin, MD | |
221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | |
(309) 672-5522 | |
Not Available |
Full Name | Dr Mashfiq Mamin |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 12 Years |
Location | 221 Ne Glen Oak Ave, Peoria, 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 |
---|---|---|---|
1821403460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 125065252 (Illinois) | Primary |
207R00000X | Internal Medicine | 125065252 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tallahassee Memorial Healthcare Inc | 6103724778 | 339 |
Entity Name | Tallahassee Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437177664 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
Mailing Address | Practice Location Address |
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Dr Mashfiq Mamin, MD 900 Main St, Suite 720, Peoria, IL 61602-1005 Ph: () - | Dr Mashfiq Mamin, MD 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: (309) 672-5522 |
Dr. Deepak S Nair, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Karen Margaret Kyle, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 | |
Dr. Andrew Wang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St Ste 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 | |
Dr. Douglas Juvinall, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 | |
Dr. Robert I(sa) Pfeffer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3323 W Gloucester Ct, Peoria, IL 61615 Phone: 309-692-5462 | |
Arun C Pinto, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 228 Ne Jefferson, Peoria, IL 61603 Phone: 309-671-8000 Fax: 309-671-4695 | |
Dr. M. Teresa C. Fraser, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Garden Street, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7637 |