| Dr Miguel H Granger, MD | |
|
2001 State St, East Saint Louis, IL 62205-1803 | |
| (618) 271-9191 | |
| (618) 271-9617 |
| Full Name | Dr Miguel H Granger |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 2001 State St, East Saint Louis, 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 |
|---|---|---|---|
| 1265527998 | NPI | - | NPPES |
| 036103215 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036106215 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Touchette Regional Hospital Inc | Centreville, IL | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 115 |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miguel H Granger, MD 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-9191 | Dr Miguel H Granger, MD 2001 State St, East Saint Louis, IL 62205-1803 Ph: (618) 271-9191 |
Dr. Alfred Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905 | |
Dr. Christopher Vaughan Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N 8th St, East Saint Louis, IL 62201 Phone: 618-271-0130 Fax: 618-271-6325 | |
Dr. John M Magner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 N 8th St Ste 120, East Saint Louis, IL 62201 Phone: 618-337-2597 Fax: 618-337-2930 | |
Dolores J Gunn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-9191 Fax: 618-271-9617 |