Miguel Gelman, MD | |
1 Good Samaritan Way, Attn: Radiology, Mount Vernon, IL 62864-2402 | |
(618) 242-4600 | |
Not Available |
Full Name | Miguel Gelman |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 1 Good Samaritan Way, Mount Vernon, 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 |
---|---|---|---|
1255378832 | NPI | - | NPPES |
036117188-3 | Medicaid | IL | |
P00357281 | Other | IL | MDCR RR/ST JOE UTLAH |
P00357281 | Other | IL | MDCR RR/GD SM & ST MARY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036117188 (Illinois) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 036117188 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metro Imaging Llc | 6608864160 | 12 |
Entity Name | Metro Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760578496 PECOS PAC ID: 6608864160 Enrollment ID: O20040504000170 |
Mailing Address | Practice Location Address |
---|---|
Miguel Gelman, MD Po Box 2153 Dept 20002, Birmingham, AL 35287-0001 Ph: (877) 465-0012 | Miguel Gelman, MD 1 Good Samaritan Way, Attn: Radiology, Mount Vernon, IL 62864-2402 Ph: (618) 242-4600 |
Kent S Quinn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Good Samaritan Way, Attn Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 Fax: 618-242-4600 | |
Dr. Neetin C Patel, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
John Ryan Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Jerrold C Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Anthony N Sodd, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Good Samaritan Way, Attn: Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Graeme Donald Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4117 Veterans Memorial Drive, Mount Vernon, IL 62864 Phone: 618-241-7016 |