Mr Gautam Jha, MD | |
1325 W. Whittaker, Suite D, Salem, IL 62881 | |
(618) 740-0300 | |
(618) 740-0301 |
Full Name | Mr Gautam Jha |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 1325 W. Whittaker, Salem, 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 |
---|---|---|---|
1447314737 | NPI | - | NPPES |
036096423 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036096423 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional Home Care - Crossroads | Mount vernon, IL | Home health agency |
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
Salem Township Hospital | Salem, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
St Anthonys Memorial Hospital | Effingham, IL | Hospital |
Entity Name | Salem Township Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Mailing Address | Practice Location Address |
---|---|
Mr Gautam Jha, MD 1325 W. Whittaker, Suite D, Salem, IL 62881 Ph: (618) 740-0300 | Mr Gautam Jha, MD 1325 W. Whittaker, Suite D, Salem, IL 62881 Ph: (618) 740-0300 |
Dr. Seth Hahs, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-548-4577 | |
Dr. Miriam A. Baumgart, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Whittaker St, Salem, IL 62881 Phone: 618-548-3922 Fax: 618-548-7759 | |
Dr. Palaniappan Suppiah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1321 W Whittaker St, Salem, IL 62881 Phone: 618-548-0466 Fax: 618-548-4512 |