Shakuntala Hanumant Mauzo, MBBS,MD | |
701 N. First St, Springfield, IL 62781-0002 | |
(217) 788-3000 | |
(217) 788-5577 |
Full Name | Shakuntala Hanumant Mauzo |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 19 Years |
Location | 701 N. First St, Springfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659626554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | 036.145741 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Decatur Memorial Hospital | Decatur, IL | Hospital |
Jersey Community Hospital | Jerseyville, IL | Hospital |
Pana Community Hospital | Pana, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pathology Associates Of Central Illinois Ltd | 6103813449 | 13 |
Entity Name | Pathology Associates Of Central Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548363138 PECOS PAC ID: 6103813449 Enrollment ID: O20040428000745 |
Mailing Address | Practice Location Address |
---|---|
Shakuntala Hanumant Mauzo, MBBS,MD Po Box 5995, Carol Stream, IL 60197-5995 Ph: (713) 500-5302 | Shakuntala Hanumant Mauzo, MBBS,MD 701 N. First St, Springfield, IL 62781-0002 Ph: (217) 788-3000 |
Cassi Brielle Grotepas, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-522-3117 | |
Dr. Onsi W Kamel, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Cody Eric Freitag, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-522-3117 | |
Joan Barenfanger, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Memorial Medical Center Laboratory Medicine, Springfield, IL 62781 Phone: 217-788-3672 Fax: 217-788-5577 | |
Michael Jon Beckmann, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Memorial Medical Center, Springfield, IL 62781 Phone: 217-788-3064 Fax: 217-788-5577 | |
Patrick R Hemmer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Dr. Thomas Czeczok, Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-522-3117 |