| Dr Moses O Adeyanju, MD | |
|
405 W Jackson St, Pathology Department, Carbondale, IL 62901-1462 | |
| (618) 549-0721 | |
| (618) 351-4957 |
| Full Name | Dr Moses O Adeyanju |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 45 Years |
| Location | 405 W Jackson St, Carbondale, 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 |
|---|---|---|---|
| 1306820121 | NPI | - | NPPES |
| 036077955-2 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036-077955 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Dermatology, Pc | 2769479203 | 12 |
| Entity Name | Southern Illinois Dermatology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306870233 PECOS PAC ID: 2769479203 Enrollment ID: O20040427001593 |
| Entity Name | Southern Illinois Gi Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093775405 PECOS PAC ID: 1658337456 Enrollment ID: O20041203000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Moses O Adeyanju, MD Po Box 1105, Indianapolis, IN 46206-1105 Ph: (618) 457-5200 | Dr Moses O Adeyanju, MD 405 W Jackson St, Pathology Department, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
Rupal Parmar, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Elliott Lhospital, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-351-4957 | |
Dr. Heather L Barrett, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-351-4957 | |
Dr. Kevin Gregory Neill, M.D., M.P.H. Pathology Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-351-4968 |