Veerasikku Bommiasamy, MD | |
695 N Kellogg St, Galesburg, IL 61401-2807 | |
(309) 343-8131 | |
Not Available |
Full Name | Veerasikku Bommiasamy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 695 N Kellogg St, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700819133 | NPI | - | NPPES |
36051814 | Other | IL | BLUE SHIELD |
0360518141 | Medicaid | IL | |
0360518146 | Medicaid | IL | |
P00347048 | Other | IL | RAILROAD MEDICARE |
P00936471 | Other | IL | RRMCARE THRU CESIISC (GES) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036051814 (Illinois) | Primary |
Entity Name | Nes Michigan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740794536 PECOS PAC ID: 2961578265 Enrollment ID: O20180125001584 |
Mailing Address | Practice Location Address |
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Veerasikku Bommiasamy, MD Po Box 960416, Oklahoma City, OK 73196-0001 Ph: (877) 485-4474 | Veerasikku Bommiasamy, MD 695 N Kellogg St, Galesburg, IL 61401-2807 Ph: (309) 343-8131 |
Mark A Wiechert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1707 N Henderson St, Galesburg, IL 61401 Phone: 309-343-1000 Fax: 309-344-1054 | |
Fares Aris, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Dr. Justin Hering, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9403 | |
Ernest Vesta, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-8131 Fax: 309-343-2393 | |
Martin Musuruana, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Dr. Ronald J Wiechert, MD, PHD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9403 |