Dr Tsahi Samra, MD | |
201 S 14th St, Herrin, IL 62948-3631 | |
(618) 942-2171 | |
(618) 988-6166 |
Full Name | Dr Tsahi Samra |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 9 Years |
Location | 201 S 14th St, Herrin, 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 |
---|---|---|---|
1255782082 | NPI | - | NPPES |
214881 | Other | IL | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036148605 (Illinois) | Secondary |
208M00000X | Hospitalist | 036148605 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
24 On Physicians Pc | 5698688141 | 237 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346480431 PECOS PAC ID: 5698688141 Enrollment ID: O20090609000389 |
Mailing Address | Practice Location Address |
---|---|
Dr Tsahi Samra, MD 1239 E Main St, Carbondale, IL 62901-3175 Ph: (618) 684-3156 | Dr Tsahi Samra, MD 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Dr. Varathaseelan Muthulingam, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4919 |