Gary M Reagan, MD | |
209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6254 | |
(618) 244-6710 | |
(618) 244-6779 |
Full Name | Gary M Reagan |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 43 Years |
Location | 209 Crossroads Pl, Mount Vernon, 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 |
---|---|---|---|
1417909060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036-064567 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crossroads Community Hospital | Mount vernon, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Salem Township Hospital | Salem, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 77 |
Entity Name | Crossroads Physicians Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508850520 PECOS PAC ID: 4385539642 Enrollment ID: O20040217000409 |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Mailing Address | Practice Location Address |
---|---|
Gary M Reagan, MD 209 Crossroads Pl 150, Mount Vernon, IL 62864-6546 Ph: (618) 244-6710 | Gary M Reagan, MD 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6254 Ph: (618) 244-6710 |
Dr. Adit Shah, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 | |
Dr. Louis Clarence Remynse Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864 Phone: 618-899-4000 | |
Dr. David R Knowles, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4109 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-4060 Fax: 618-205-5817 |