Mrs Susan L Journagan, MD | |
390 Office Court, Fairview Heights, IL 62208 | |
(618) 233-7666 | |
(618) 233-7461 |
Full Name | Mrs Susan L Journagan |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 21 Years |
Location | 390 Office Court, Fairview Heights, 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 |
---|---|---|---|
1598987836 | NPI | - | NPPES |
P00407830 | Other | IL | MEDICARE RR PTAN |
036117994 | Medicaid | IL | |
537563 | Other | IL | BCBS MISSOURI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036117994 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Distinctive Dermatology Ltd | 1850365842 | 5 |
Entity Name | Distinctive Dermatology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518028398 PECOS PAC ID: 1850365842 Enrollment ID: O20040825000184 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan L Journagan, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 | Mrs Susan L Journagan, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 |
Dr. Eva A Hurst, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Court, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 | |
Dr. Angela Marie Sutton, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 | |
Dr. Courtney Anne Tobin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 |