Dr Pramote Anantachai, MD | |
405 Rushing Dr, Herrin, IL 62948-3730 | |
(618) 993-3300 | |
(618) 993-0262 |
Full Name | Dr Pramote Anantachai |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 405 Rushing Dr, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841344876 | NPI | - | NPPES |
036050261 | Medicaid | IL | |
793113283 | Other | RAILROAD MEDICARE | |
0663336 | Other | UMWA HR FUNDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036050261 (Illinois) | Primary |
Entity Name | Southern Illinois Hospital Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528158573 PECOS PAC ID: 2961310966 Enrollment ID: O20031211000718 |
Mailing Address | Practice Location Address |
---|---|
Dr Pramote Anantachai, MD Po Box 1105, Indianapolis, IN 46206-1105 Ph: (618) 549-5361 | Dr Pramote Anantachai, MD 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 |
Dr. Gowda Sharath, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 | |
Sareer Zia, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929 | |
Dr. Chante Thanh Trinh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 | |
Sherry Michele Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3303 Logan Dr, Herrin, IL 62948 Phone: 618-998-8920 Fax: 618-998-8923 | |
Dr. Abhish Koirala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166 | |
Dr. Jeffrey Mark Jacobs, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166 | |
Dr. Shannon J Hopen, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin Hospital, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929 |