Sadashivaiah Bhaskar, MD | |
3412 Office Park Dr, Marion, IL 62959-6477 | |
(618) 993-0404 | |
(618) 993-1717 |
Full Name | Sadashivaiah Bhaskar |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3412 Office Park Dr, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417002098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036123769 (Illinois) | Secondary |
208M00000X | Hospitalist | 2020-04850 (North Carolina) | Secondary |
208000000X | Pediatrics | 2020-04850 (North Carolina) | Primary |
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 |
---|---|
Sadashivaiah Bhaskar, MD 3412 Office Park Dr, Marion, IL 62959-6477 Ph: (618) 993-0404 | Sadashivaiah Bhaskar, MD 3412 Office Park Dr, Marion, IL 62959-6477 Ph: (618) 993-0404 |
Carline Mekem Mbeumo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Dr. Ronald Chediak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 W Deyoung St, Ste 524, Marion, IL 62959 Phone: 618-993-1421 | |
Mrs. Bindu Reddy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 East Walnut, Suite 6, Marion, IL 62901 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mr. Jeremy Paul Gerwe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mr. Pradeep Gopala Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 |