| Dr Clinton Jay Mohr, MD | |
|
1008 W Cherry St, Ste D, Marion, IL 62959-1998 | |
| (618) 997-2396 | |
| (618) 997-1901 |
| Full Name | Dr Clinton Jay Mohr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 1008 W Cherry St, Marion, 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 |
|---|---|---|---|
| 1356427736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2006030252 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 036119956 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Anna Hospital Corporation D/b/a Union County Hospital | Anna, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Statera Health Care Llc | 0244565729 | 34 |
| Integritas Emergency Physician Services Llc | 7113167446 | 28 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Jay Mohr, MD 1008 W Cherry St, Ste D, Marion, IL 62959-1998 Ph: (618) 997-2396 | Dr Clinton Jay Mohr, MD 1008 W Cherry St, Ste D, Marion, IL 62959-1998 Ph: (618) 997-2396 |
Mohammed Rahimparast, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2309 Spring Ln, Marion, IL 62959 Phone: 618-993-8551 | |
Dr. Elizabeth Ellen Lawler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1129 N Carbon St, Marion, IL 62959 Phone: 618-998-0123 Fax: 887-618-9533 | |
Shelley Falik, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3307 W Commercial Rd, Marion, IL 62959 Phone: 902-235-2526 | |
Faisel Ahmad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Deyoung St, Marion, IL 62959 Phone: 618-993-5686 Fax: 618-997-6250 | |
Dr. Zaid Anwar Al-dahabrah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 | |
Dr. Parag Arvind Madhani, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3331 W Deyoung St, Suite 100, Marion, IL 62959 Phone: 618-998-7600 Fax: 618-997-6680 | |
Bei Wang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2703 Prestwick Way, Marion, IL 62959 Phone: 469-619-5782 |