| Medha Suwanawongse, MD | |
|
121 N 13th St, Herrin, IL 62948-3248 | |
| (618) 988-6025 | |
| (618) 988-6024 |
| Full Name | Medha Suwanawongse |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 121 N 13th St, Herrin, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366452443 | NPI | - | NPPES |
| 09127249 | Other | BCBS | |
| 020048410 | Other | MEDICARE RAILROAD | |
| 036087814 | Medicaid | IL | |
| 621141230A | Other | IL | HEALTH ALLIANCE |
| 259925 | Other | IL | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036087814 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Medha Suwanawongse, MD Po Box 129, 121 North 13th Street, Herrin, IL 62948-0129 Ph: (618) 988-6025 | Medha Suwanawongse, MD 121 N 13th St, Herrin, IL 62948-3248 Ph: (618) 988-6025 |
William F. Hays, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3305 Logan Dr, Herrin, IL 62948 Phone: 618-997-4444 Fax: 618-993-1173 | |
Ellie Marie Bentley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Kristina Marie Potanos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Dr. Cyril Kamya, M.D Surgery Medicare: Medicare Enrolled Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 | |
Dr. Robert Judson Brewer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave, 3rd Floor, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Anne Hardy-henry, Surgery Medicare: Accepting Medicare Assignments Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-351-6491 |