Kehinde M Ganiyu, MD | |
3333 W Deyoung St, Marion, IL 62959-5884 | |
(618) 998-7000 | |
Not Available |
Full Name | Kehinde M Ganiyu |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3333 W Deyoung St, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043278237 | NPI | - | NPPES |
3932056 | Other | IL | BLUE SHIELD |
036068226-1 | Medicaid | IL | |
036068226-7 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036068226 (Illinois) | Primary |
Entity Name | Pana Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
Entity Name | Crandon Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376582783 PECOS PAC ID: 1052578804 Enrollment ID: O20120206000570 |
Entity Name | Integritas Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Mailing Address | Practice Location Address |
---|---|
Kehinde M Ganiyu, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Kehinde M Ganiyu, MD 3333 W Deyoung St, Marion, IL 62959-5884 Ph: (618) 998-7000 |
Miles Freeman Edward French, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11314 Limb Branch Ln, Marion, IL 62959 Phone: 618-997-6811 | |
Dr. Todd L Engdahl, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 Fax: 618-997-6589 | |
Ghanem Abusbeih, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 | |
Wroten Mcquirter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 902 N Logan St, Apt. 3, Marion, IL 62959 Phone: 618-993-6683 | |
Dr. William Michael Ediger, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Syed Hassan Khalid Jafri, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7492 |