| Dr John Douglas Sadoff, MD | |
|
9 Park Pl, Swansea, IL 62226-2967 | |
| (618) 233-5722 | |
| (618) 233-7069 |
| Full Name | Dr John Douglas Sadoff |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 25 Years |
| Location | 9 Park Pl, Swansea, 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 |
|---|---|---|---|
| 1619973765 | NPI | - | NPPES |
| 011619579 | Other | MO | BNDD |
| 036110178 | Medicaid | IL | |
| 036071034 | Other | IL | SUBSTANCE CONTROL |
| 2003022258 | Other | MO | LICENSE |
| 036110178 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036110178 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Cardiovascular Consultants Ltd | 3173435880 | 95 |
| Entity Name | Prairie Cardiovascular Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982714218 PECOS PAC ID: 3173435880 Enrollment ID: O20031103000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Douglas Sadoff, MD 9 Park Pl, Ste B, Swansea, IL 62226-2967 Ph: (618) 233-5722 | Dr John Douglas Sadoff, MD 9 Park Pl, Swansea, IL 62226-2967 Ph: (618) 233-5722 |
Dr. Bill Bates Daily Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 9 Park Pl, Swansea, IL 62226 Phone: 618-233-5722 Fax: 618-233-7069 |