| Ann Hagedorn, MD | |
|
200 Health Care Dr, Greenville, IL 62246-1154 | |
| (618) 664-1230 | |
| Not Available |
| Full Name | Ann Hagedorn |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 200 Health Care Dr, Greenville, 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 |
|---|---|---|---|
| 1245237825 | NPI | - | NPPES |
| 036106952 | Medicaid | IL | |
| 1245237825 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036106952 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036106952 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Belleville, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Cedar Ridge Health & Rehab Ctr | Lebanon, IL | Nursing home |
| Autumn Meadows Of Cahokia | Cahokia, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - Illinois Snf Llp | 8022306737 | 8 |
| Entity Name | Cep America-illinois Hospitalists, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
| Entity Name | Cep America - Illinois Snf Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073069415 PECOS PAC ID: 8022306737 Enrollment ID: O20161012002933 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Hagedorn, MD 4550 Memorial Dr, Ste 340, Belleville, IL 62226-5372 Ph: (618) 257-6200 | Ann Hagedorn, MD 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-1230 |
Asim Elmahboub, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 | |
Ryan L Jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 |