Mr Sushilkumar Mahabirprasad Tibrewala, MD | |
3301 Patriot Ct, Herrin, IL 62948-3782 | |
(618) 998-8885 | |
(618) 998-8886 |
Full Name | Mr Sushilkumar Mahabirprasad Tibrewala |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 47 Years |
Location | 3301 Patriot Ct, Herrin, 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 |
---|---|---|---|
1457366858 | NPI | - | NPPES |
036073571 | Medicaid | IL | |
833199720 | Other | IL | AETNA |
0010023397 | Other | IL | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036-073571 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heartland Regional Medical Center | Marion, IL | Hospital |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gastroenterology Care Of Southern Illinois Llc | 5294831343 | 2 |
Entity Name | Gastroenterology Care Of Southern Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609914183 PECOS PAC ID: 5294831343 Enrollment ID: O20070507000114 |
Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
Mailing Address | Practice Location Address |
---|---|
Mr Sushilkumar Mahabirprasad Tibrewala, MD 24 Pine Lake Dr, Carbondale, IL 62901-5410 Ph: (618) 998-8885 | Mr Sushilkumar Mahabirprasad Tibrewala, MD 3301 Patriot Ct, Herrin, IL 62948-3782 Ph: (618) 998-8885 |
Dr. Gowda Sharath, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 405 Rushing Dr, Herrin, IL 62948 Phone: 618-993-3300 | |
Sareer Zia, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929 | |
Dr. Chante Thanh Trinh, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 | |
Sherry Michele Williams, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3303 Logan Dr, Herrin, IL 62948 Phone: 618-998-8920 Fax: 618-998-8923 | |
Dr. Abhish Koirala, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166 | |
Dr. Jeffrey Mark Jacobs, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166 | |
Dr. Shannon J Hopen, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin Hospital, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929 |