Dr Samuel P Mathew, MD | |
5320 159th St Ste 100, Oak Forest, IL 60452-3329 | |
(708) 206-0305 | |
(708) 206-0300 |
Full Name | Dr Samuel P Mathew |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 5320 159th St Ste 100, Oak Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801959705 | NPI | - | NPPES |
036065418 | Medicaid | IL | |
010025068 | Other | IL | RAILROAD MEDICARE PIN |
0031603366 | Other | IL | BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036065418 (Illinois) | Primary |
Entity Name | Intra-hearts Service Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952467375 PECOS PAC ID: 7911076872 Enrollment ID: O20080519000128 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel P Mathew, MD Po Box 947, Orland Park, IL 60462-0947 Ph: (708) 206-0305 | Dr Samuel P Mathew, MD 5320 159th St Ste 100, Oak Forest, IL 60452-3329 Ph: (708) 206-0305 |
Dr. Harish Bhatia, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6300 159th St Ste C, Oak Forest, IL 60452 Phone: 708-535-3300 | |
Dr. Ranjit Sigamony, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 15900, S. Cicero Ave,, Oak Forest Hospital, Oak Forest, IL 60452 Phone: 708-687-7200 | |
Danilo T Pacheco, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 15900 S Cicero Ave, Oak Forest, IL 60452 Phone: 708-633-3478 Fax: 708-633-3449 | |
Mathew George, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 15900 South Cicero Ave, Oak Forest, IL 60452 Phone: 708-687-7200 | |
Patricia Lynn Demarais, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 15900 South Cicero Ave, Oak Forest Hosptial, Oak Forest, IL 60452 Phone: 708-633-4131 | |
Dr. Emil Makar, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 15900 S. Cicero Ave, Oak Forest, IL 60452 Phone: 708-687-7200 | |
Naheed H Khan, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 15900 S Cicero Ave, Oak Forest, IL 60452 Phone: 708-633-3478 Fax: 708-633-3449 |