Raed Al-dallow, MD | |
409 W Oak St, Carbondale, IL 62901-1464 | |
(618) 529-4455 | |
(618) 351-1287 |
Full Name | Raed Al-dallow |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 27 Years |
Location | 409 W Oak St, Carbondale, 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 |
---|---|---|---|
1164572095 | NPI | - | NPPES |
00390550 | Other | IL | RAILROAD |
036106632 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036106632 (Illinois) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 036106632 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Pinckneyville Community Hospital | Pinckneyville, IL | Hospital |
Marshall Browning Hospital | Du quoin, IL | Hospital |
Harrisburg Medical Center | Harrisburg, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Pinckneyville Community Hospital | 8123921632 | 18 |
Entity Name | Prairie Cardiovascular Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982714218 PECOS PAC ID: 3173435880 Enrollment ID: O20031103000090 |
Entity Name | Harrisburg Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396878658 PECOS PAC ID: 9638083884 Enrollment ID: O20031113000179 |
Entity Name | Southern Illinois Hospital Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528158573 PECOS PAC ID: 2961310966 Enrollment ID: O20031211000718 |
Entity Name | St Anthony's Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306800602 PECOS PAC ID: 2365341211 Enrollment ID: O20040108000741 |
Entity Name | Franklin Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
Entity Name | Pinckneyville Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689646523 PECOS PAC ID: 8123921632 Enrollment ID: O20040131000065 |
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 |
---|---|
Raed Al-dallow, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Raed Al-dallow, MD 409 W Oak St, Carbondale, IL 62901-1464 Ph: (618) 529-4455 |
Melissa Andrea Martinez Mateo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Stuart Kent Lankford, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823 | |
Dr. Anil N Parikh, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Nathaniel Clark, P.A. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Is-haq Malik, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Arslan Mirza, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Motaz R Wraikat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |