Ghulam Jeelani Siddiqui, MD | |
2115 S Fremont Ave, Suite 3300, Springfield, MO 65804-2239 | |
(417) 820-5200 | |
(417) 820-5220 |
Full Name | Ghulam Jeelani Siddiqui |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 20 Years |
Location | 2115 S Fremont Ave, Springfield, Missouri |
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 |
---|---|---|---|
1023260874 | NPI | - | NPPES |
1023260874 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 2013004553 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Ghulam Jeelani Siddiqui, MD Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620 | Ghulam Jeelani Siddiqui, MD 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804-2239 Ph: (417) 820-5200 |
Dr. Mark H. Grimm, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Danny R Penick, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |