| 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 | 31 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) | Secondary |
| 208M00000X | Hospitalist | 036121565 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Good Samaritan Regional Hlth Center | Mount vernon, IL | Hospital |
| Herrin Hospital | Herrin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Ssm Health Saint Louis University Hospital | Saint louis, MO | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Regional Health Center | 1658272059 | 155 |
| 24 On Physicians Pc | 5698688141 | 274 |
| Southern Illinois Medical Services Nfp | 3678677390 | 331 |
| Logan Primary Care Service Corp. | 8628967064 | 33 |
| Entity Name | Good Samaritan Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| 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 |
Dr. Varathaseelan Muthulingam, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4919 |