Dr Miguel H Granger, MD | |
2001 State St, East Saint Louis, IL 62205-1803 | |
(618) 271-9191 | |
(618) 271-9617 |
Full Name | Dr Miguel H Granger |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 2001 State St, East Saint Louis, 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 |
---|---|---|---|
1265527998 | NPI | - | NPPES |
036103215 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036106215 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Touchette Regional Hospital Inc | Centreville, IL | Hospital |
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 104 |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
---|---|
Dr Miguel H Granger, MD 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-9191 | Dr Miguel H Granger, MD 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-9191 |
Dr. Alfred Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905 | |
Dr. Christopher Vaughan Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N 8th St, East Saint Louis, IL 62201 Phone: 618-271-0130 Fax: 618-271-6325 | |
Dr. John M Magner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N 8th St Ste 120, East Saint Louis, IL 62201 Phone: 618-337-2597 Fax: 618-337-2930 | |
Dolores J Gunn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-9191 Fax: 618-271-9617 |