Mrs Charmaine E Edwards, MD | |
325 Spring Street, Red Bud, IL 62278 | |
(618) 282-3831 | |
(618) 282-5476 |
Full Name | Mrs Charmaine E Edwards |
---|---|
Gender | Female |
Speciality | Gastroenterology |
Experience | 32 Years |
Location | 325 Spring Street, Red Bud, 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 |
---|---|---|---|
1972586253 | NPI | - | NPPES |
203825146 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036106745 (Illinois) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 113266 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Red Bud Regional Hospital | Red bud, IL | Hospital |
Gateway Regional Medical Center | Granite city, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Illinois Red Bud Regional Hospital Inc | 9537531579 | 15 |
Entity Name | Red Bud Illinois Hospital Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740387042 PECOS PAC ID: 2466416821 Enrollment ID: O20041116000148 |
Entity Name | Heartland Rural Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275166134 PECOS PAC ID: 3072513043 Enrollment ID: O20061226000075 |
Entity Name | Deaconess Illinois Red Bud Regional Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619693926 PECOS PAC ID: 9537531579 Enrollment ID: O20230221000484 |
Entity Name | Ahs Il Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
Mailing Address | Practice Location Address |
---|---|
Mrs Charmaine E Edwards, MD 325 Spring Street, Red Bud, IL 62278 Ph: (618) 282-3831 | Mrs Charmaine E Edwards, MD 325 Spring Street, Red Bud, IL 62278 Ph: (618) 282-3831 |
Dr. Pichet Santilukka, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 415 W S Fourth Street, Suite A, Red Bud, IL 62278 Phone: 618-282-3883 Fax: 618-282-6133 |