Dr Shivani Tushar Patel, DO | |
1301 S Koke Mill Rd, Springfield, IL 62711-9252 | |
(217) 547-9100 | |
(217) 547-9236 |
Full Name | Dr Shivani Tushar Patel |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 1301 S Koke Mill Rd, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285129502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 036.169922 (Illinois) | Primary |
208100000X | Physical Medicine & Rehabilitation | DO.3008 (Alabama) | Secondary |
Entity Name | Alabama Orthopedic Spine & Sports Medicine Associates P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659344984 PECOS PAC ID: 5395643068 Enrollment ID: O20031219000647 |
Entity Name | Southern Orthopaedic Alliance Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588364228 PECOS PAC ID: 2365800604 Enrollment ID: O20230620001264 |
Mailing Address | Practice Location Address |
---|---|
Dr Shivani Tushar Patel, DO 1301 S Koke Mill Rd, Springfield, IL 62711-9252 Ph: (217) 547-9100 | Dr Shivani Tushar Patel, DO 1301 S Koke Mill Rd, Springfield, IL 62711-9252 Ph: (217) 547-9100 |
Seth Bires, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 | |
James Patrick Newman, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
John O Watson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711 Phone: 217-547-9100 Fax: 217-547-9247 | |
Jordan Sestak Bruce, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 | |
Jason Todd Royer, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3631 S 6th St, Springfield, IL 62703 Phone: 217-535-3685 Fax: 217-529-0988 | |
Louis Kienzler Graham, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 3100, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7393 |