| Dr Caleb Paniamogan, DO | |
|
2701 17th St, Rock Island, IL 61201-5351 | |
| (309) 779-5000 | |
| Not Available |
| Full Name | Dr Caleb Paniamogan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 2701 17th St, Rock Island, 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 |
|---|---|---|---|
| 1467411009 | NPI | - | NPPES |
| 2577783 | Medicaid | IA | |
| IL0181 | Other | JOHN DEERE ILLINOIS | |
| 99291 | Other | BCWELLMARK WEST | |
| 1577783 | Medicaid | IA | |
| 503523 | Other | IHS | |
| 99286 | Other | BCWELLMARK 7TH | |
| 0577783 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3665 (Iowa) | Secondary |
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeasthealth | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Missouri Hospital Physicians Llc | 9133024334 | 188 |
| Entity Name | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Caleb Paniamogan, DO 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-5000 | Dr Caleb Paniamogan, DO 2701 17th St, Rock Island, IL 61201-5351 Ph: (309) 779-5000 |
Deepta Shankar Atre Strand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Dr. Lester Kelty, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Nicholas Allen Wilczynski, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Dr. Kevin Kurth, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Dr. Jack Buzek, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Dr. David Hartsuch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 | |
Dr. Stephanie Burrows, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 309-779-5000 |