Dr Raja Kumari Vaidadi, MD | |
201 S 14th St, Herrin, IL 62948-3631 | |
(618) 942-2171 | |
(618) 988-6166 |
Full Name | Dr Raja Kumari Vaidadi |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 17 Years |
Location | 201 S 14th St, Herrin, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588918395 | NPI | - | NPPES |
214881 | Other | IL | MULTISPECIALTY GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125061196 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
24 On Physicians Pc | 5698688141 | 250 |
Entity Name | Access Community Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346480431 PECOS PAC ID: 5698688141 Enrollment ID: O20090609000389 |
Mailing Address | Practice Location Address |
---|---|
Dr Raja Kumari Vaidadi, MD 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 | Dr Raja Kumari Vaidadi, MD 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Joe V Yohannan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6166 | |
Mark L Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 Rushing Drive, Herrin, IL 62948 Phone: 618-943-3300 Fax: 618-997-6626 | |
Marshall Hillery Short, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Miller Drive, Herrin, IL 62948 Phone: 618-942-5166 | |
Michael Aaron Workman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Rushing Drive, Herrin, IL 62948 Phone: 618-993-3300 Fax: 618-993-0262 | |
Dr. Mustafa Hindi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4929 | |
Mrs. Meshia K Hughes, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 | |
Dr. Donnie Edwin Shelton Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 |