| Dr Andrew Mahtani, MD | |
|
200 Health Care Dr, Greenville, IL 62246-1154 | |
| (618) 664-1230 | |
| Not Available |
| Full Name | Dr Andrew Mahtani |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 200 Health Care Dr, Greenville, 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 |
|---|---|---|---|
| 1659579613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036126330 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036126330 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 2016008067 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dover Hospice Il Stl Metro, Llc | Glen carbon, IL | Hospice |
| Heartland Hospice (fairview Heights) | Fairview heights, IL | Hospice |
| St Joseph's Hospital | Highland, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St. Joseph's Hospital- Highland | Highland, IL | Nursing home |
| St. Josephs Hospital | Breese, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 193 |
| 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 |
|---|---|
| Dr Andrew Mahtani, MD 325 Spring St, Red Bud, IL 62278-1105 Ph: (618) 282-5205 | Dr Andrew Mahtani, MD 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-1230 |
Dr. Jemila Maxine Crawford, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 |