| Dr Matin Nekzad, MD | |
|
1006 S Division St, Carterville, IL 62918-1539 | |
| (618) 985-4841 | |
| (618) 985-4535 |
| Full Name | Dr Matin Nekzad |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 1006 S Division St, Carterville, 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 |
|---|---|---|---|
| 1679548689 | NPI | - | NPPES |
| 036098147 | Medicaid | IL | |
| CF3444 | Other | IL | MEDICARE RAILROAD |
| 370966854004 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083B0002X | Preventive Medicine - Obesity Medicine | 036.098147 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036098147 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Lbn Residential Home Health Of Southern Illinois | 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 |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Health Service And Development Corp | 1658285671 | 50 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matin Nekzad, MD Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Dr Matin Nekzad, MD 1006 S Division St, Carterville, IL 62918-1539 Ph: (618) 985-4841 |
Kaif Mohammed Yusuf Mansuri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-519-9200 Fax: 618-985-3774 | |
James E Wachter, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101 |