| Dr Neetin C Patel, MD | |
|
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | |
| (618) 242-4600 | |
| Not Available |
| Full Name | Dr Neetin C Patel |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 47 Years |
| Location | 1 Good Samaritan Way, Mount Vernon, 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 |
|---|---|---|---|
| 1174630099 | NPI | - | NPPES |
| 036084644 1 | Medicaid | IL | |
| 30624600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 33015 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036-084644 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Javon Bea Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Ernst Radiology Clinic Inc | 2264829639 | 17 |
| Rockford Health Physicians | 2567374036 | 362 |
| Mercy Health System Corporation | 7416860440 | 564 |
| 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 | Ernst Radiology Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699425462 PECOS PAC ID: 2264829639 Enrollment ID: O20220504000429 |
| Entity Name | Ernst Radiology Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000971 PECOS PAC ID: 2961488366 Enrollment ID: O20230405001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Neetin C Patel, MD Po Box 2153, Saint Louis, MO 63158-0153 Ph: (877) 465-0012 | Dr Neetin C Patel, MD 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (618) 242-4600 |
Kent S Quinn, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Good Samaritan Way, Attn Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 Fax: 618-242-4600 | |
John Ryan Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Jerrold C Willis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Anthony N Sodd, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Good Samaritan Way, Attn: Radiology Dept, Mount Vernon, IL 62864 Phone: 618-242-4600 | |
Dr. Graeme Donald Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4117 Veterans Memorial Drive, Mount Vernon, IL 62864 Phone: 618-241-7016 | |
Dr. Zuhair Mohammad Elzimmili, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 877-465-0012 Fax: 303-438-1351 |