Veena Kawatra Gupta, MD | |
3307 Broadway St, Ste 140, Mount Vernon, IL 62864-2347 | |
(618) 244-7200 | |
(618) 244-7274 |
Full Name | Veena Kawatra Gupta |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3307 Broadway St, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790713899 | NPI | - | NPPES |
036065879 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036065879 (Illinois) | Primary |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Mailing Address | Practice Location Address |
---|---|
Veena Kawatra Gupta, MD 3307 Broadway, Ste 140, Mount Vernon, IL 62864-2347 Ph: (618) 244-7200 | Veena Kawatra Gupta, MD 3307 Broadway St, Ste 140, Mount Vernon, IL 62864-2347 Ph: (618) 244-7200 |
Dr. Murke Franklin Harrison, DO LTD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2712 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-2000 Fax: 618-244-6625 | |
Dr. Charles W Neal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Esther Schulz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-899-1264 Fax: 618-241-4848 | |
Linden R Pearson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864 Phone: 618-244-6770 Fax: 618-244-6772 | |
Dr. Jacques Papazian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Dr. Kristen Jacobs, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 329 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-3370 | |
Christopher Wilson Modert, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Doctors Park Rd Ste C, Mount Vernon, IL 62864 Phone: 618-244-1234 |