| Dr Balavittal Varanasi, MD | |
|
936 M L King Dr, Centralia, IL 62801-3058 | |
| (618) 532-6439 | |
| (618) 532-1549 |
| Full Name | Dr Balavittal Varanasi |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 936 M L King Dr, Centralia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366419210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-085451 (Illinois) | Primary |
| Entity Name | Total Access Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962684886 PECOS PAC ID: 8820171929 Enrollment ID: O20080213000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Balavittal Varanasi, MD 936 M L King Dr, Centralia, IL 62801-3058 Ph: (618) 532-6439 | Dr Balavittal Varanasi, MD 936 M L King Dr, Centralia, IL 62801-3058 Ph: (618) 532-6439 |
Dr. Usha Kiran Sadanala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Dr. David Ray Collins, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 642 Community Beach Rd, Centralia, IL 62801 Phone: 618-532-7939 | |
Niranjan Shrestha, M.D., FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr Ste 111, Centralia, IL 62801 Phone: 618-436-5237 Fax: 618-436-5236 | |
Dr. Venerio Melendres Santos, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9330 Shattuc Rd, Centralia, IL 62801 Phone: 618-533-4111 Fax: 618-533-0370 | |
Lyle D Pahnke Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-6318 Fax: 618-436-6386 |