| Daniel Hoffman, MD | |
|
2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2408 | |
| (618) 899-4000 | |
| (618) 899-4790 |
| Full Name | Daniel Hoffman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2 Good Samaritan Way, 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 |
|---|---|---|---|
| 1134147432 | NPI | - | NPPES |
| CE9335 | Other | IL | RR GROUP |
| 04108659 | Other | IL | BCBS |
| 010059220 | Other | IL | MED RAILROAD |
| 036059053 | Medicaid | IL | |
| 207988 | Other | IL | GRP MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036059053 (Illinois) | Primary |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| 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 |
|---|---|
| Daniel Hoffman, MD 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2408 Ph: (618) 899-4000 | Daniel Hoffman, MD 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864-2408 Ph: (618) 899-4000 |
Dr. Emmanuel Loutrianakis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 847-736-0506 | |
Dr. Iqbal M Akhter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 S.42nd St., Bldg A Ste. 4, Mount Vernon, IL 62864 Phone: 618-242-4626 Fax: 618-242-4638 | |
Hammad Shafqat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-1380 | |
Mohamed Ruzaik Ibrahim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4115 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-315-6090 | |
Kirandeep Khangura, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4113 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-241-9071 | |
Dr. Mohammed Haseeb, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4204 Williamson Pl, Mount Vernon, IL 62864 Phone: 618-244-2525 Fax: 618-244-3666 |