Mr Brahm Jyot, MD | |
117 E Clark St, Harrisburg, IL 62946-2702 | |
(618) 252-8625 | |
(618) 351-4859 |
Full Name | Mr Brahm Jyot |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 27 Years |
Location | 117 E Clark St, Harrisburg, 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 |
---|---|---|---|
1174772966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036123282 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Harrisburg Medical Center | Harrisburg, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Hardin County General Hospital & Clinic | Rosiclare, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Mr Brahm Jyot, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Mr Brahm Jyot, MD 117 E Clark St, Harrisburg, IL 62946-2702 Ph: (618) 252-8625 |
Dr. Jennifer Marie Scagliola, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Sih Medical Group Primary Care Harrisburg, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 | |
Mr. Vinay K Mehta, M.D.F.A.C.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-2540 |