Srinivas Rajamahanty, MD | |
305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | |
(618) 351-9300 | |
(618) 351-9307 |
Full Name | Srinivas Rajamahanty |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 35 Years |
Location | 305 W Jackson St Ste 301, 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 |
---|---|---|---|
1124339403 | NPI | - | NPPES |
036127544 | Medicaid | IL | |
5915178 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036127544 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, 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 |
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 |
---|---|
Srinivas Rajamahanty, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Srinivas Rajamahanty, MD 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 Ph: (618) 351-9300 |
Lara Hammond, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 303, Carbondale, IL 62901 Phone: 618-351-9300 | |
Dr. Hark Chang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Michael J. Hyman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 303, Carbondale, IL 62901 Phone: 618-351-9300 | |
Dr. Sam Stokes Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 301, Carbondale, IL 62901 Phone: 618-351-9300 Fax: 618-351-9307 |