| Dr Gowda Sharath, MD | |
|
405 Rushing Dr, Herrin, IL 62948-3730 | |
| (618) 993-3300 | |
| Not Available |
| Full Name | Dr Gowda Sharath |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 405 Rushing Dr, Herrin, 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 |
|---|---|---|---|
| 1043466576 | NPI | - | NPPES |
| 036121565 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036121565 (Illinois) | Primary |
| 208M00000X | Hospitalist | 036121565 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| 24 On Physicians Pc | 5698688141 | 239 |
| Logan Primary Care Service Corp. | 8628967064 | 34 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346480431 PECOS PAC ID: 5698688141 Enrollment ID: O20090609000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gowda Sharath, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Dr Gowda Sharath, MD 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 |
Sareer Zia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929 | |
Dr. Chante Thanh Trinh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 | |
Sherry Michele Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3303 Logan Dr, Herrin, IL 62948 Phone: 618-998-8920 Fax: 618-998-8923 | |
Dr. Abhish Koirala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166 | |
Dr. Jeffrey Mark Jacobs, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166 | |
Dr. Shannon J Hopen, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin Hospital, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929 |