Dr Patrick Nakashima-moran, DO | |
1167 Fortune Blvd, Shiloh, IL 62269-7377 | |
(618) 207-6900 | |
(618) 207-6901 |
Full Name | Dr Patrick Nakashima-moran |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 1167 Fortune Blvd, Shiloh, 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 |
---|---|---|---|
1558743138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.145202 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rishi N. Sud, Md Pc | 7618350448 | 7 |
Entity Name | American Multispecialty Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040927000667 |
Entity Name | Rishi N. Sud, Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780314781 PECOS PAC ID: 7618350448 Enrollment ID: O20220811002211 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick Nakashima-moran, DO Po Box 419059, Saint Louis, MO 63141-9059 Ph: (618) 207-6900 | Dr Patrick Nakashima-moran, DO 1167 Fortune Blvd, Shiloh, IL 62269-7377 Ph: (618) 207-6900 |
Robert W Garner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
James M Hitchcock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
Ms. Lisa Rene Reno, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 210, Shiloh, IL 62269 Phone: 618-607-1260 Fax: 618-624-4865 | |
Dr. Blake Conley Rodgers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 Fax: 618-624-4856 | |
Dr. Lowell Grey Sensintaffar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1116 Hartman Ln, Shiloh, IL 62221 Phone: 618-641-9011 Fax: 618-641-9017 | |
Dr. Suzanne Depaulo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1190 Fortune Blvd, Shiloh, IL 62269 Phone: 314-286-6988 | |
Dr. David L Mitchell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 Country Rd, Shiloh, IL 62221 Phone: 618-277-3197 |