Jennifer A Siegel, MD | |
2250 North Illinois Ave, Carbondale, IL 62901 | |
(618) 833-1691 | |
(618) 503-0688 |
Full Name | Jennifer A Siegel |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 2250 North Illinois Ave, Carbondale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114972536 | NPI | - | NPPES |
00A549190 | Medicaid | CA | |
00A549190 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A54919 (California) | Primary |
Entity Name | Premier Emergency Physicians Of California Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578747606 PECOS PAC ID: 3870405384 Enrollment ID: O20041101000810 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Siegel, MD 2250 North Illinois Ave, Carbondale, IL 62901 Ph: (618) 833-1691 | Jennifer A Siegel, MD 2250 North Illinois Ave, Carbondale, IL 62901 Ph: (618) 833-1691 |
Scott A. Cooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Memorial Hospital, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Amanda M Ryden, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Ethan Mark Huckabee, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Connor Stephenson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Dr. Osama Aaflaq, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Kevin M Martin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
James Sullivan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |