Vasant Patel, MD | |
2 S Hospital Dr, Murphysboro, IL 62966-3333 | |
(618) 684-1035 | |
(618) 684-1036 |
Full Name | Vasant Patel |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 2 S Hospital Dr, Murphysboro, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124010426 | NPI | - | NPPES |
64096431 | Medicaid | KY | |
90634 | Other | FL | BLUE CROSS AND BLUE SHIEL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 39368 (Kentucky) | Secondary |
208600000X | Surgery | ME0099133 (Florida) | Secondary |
208600000X | Surgery | 036135386 (Illinois) | 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 |
---|---|
Vasant Patel, MD Po Box 1105, Indianapolis, IN 46206-1105 Ph: (618) 549-5361 | Vasant Patel, MD 2 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 684-1035 |
Kurt A Maddock, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-1035 Fax: 618-684-1036 | |
Dr. Frederick J Dressen, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 E Shawnee Dr, Murphysboro, IL 62966 Phone: 618-684-1035 Fax: 618-687-1155 |