Dr Neetin C Patel, MD | |
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | |
(618) 242-4600 | |
Not Available |
Full Name | Dr Neetin C Patel |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 45 Years |
Location | 1 Good Samaritan Way, Mount Vernon, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174630099 | NPI | - | NPPES |
036084644 1 | Medicaid | IL | |
30624600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 33015 (Wisconsin) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036-084644 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Salem Township Hospital | Salem, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ernst Radiology Clinic Inc | 2264829639 | 13 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Mid America Radiology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538282 PECOS PAC ID: 5294797353 Enrollment ID: O20041101000473 |
Entity Name | Ernst Radiology Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699425462 PECOS PAC ID: 2264829639 Enrollment ID: O20220504000429 |
Entity Name | Ernst Radiology Clinic, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629000971 PECOS PAC ID: 2961488366 Enrollment ID: O20230405001960 |
Mailing Address | Practice Location Address |
---|---|
Dr Neetin C Patel, MD Po Box 2153, Saint Louis, MO 63158-0153 Ph: (877) 465-0012 | Dr Neetin C Patel, MD 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (618) 242-4600 |
Kent S Quinn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Good Samaritan Way, Attn Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 Fax: 618-242-4600 | |
John Ryan Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Jerrold C Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Anthony N Sodd, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Good Samaritan Way, Attn: Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Graeme Donald Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4117 Veterans Memorial Drive, Mount Vernon, IL 62864 Phone: 618-241-7016 | |
Dr. Zuhair Mohammad Elzimmili, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 877-465-0012 Fax: 303-438-1351 |