| Dr Sajjan K Nemani, MD | |
|
6828 State Route 162 Ste 2, Maryville, IL 62062-8558 | |
| (618) 288-5906 | |
| (618) 288-5914 |
| Full Name | Dr Sajjan K Nemani |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 50 Years |
| Location | 6828 State Route 162 Ste 2, Maryville, 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 |
|---|---|---|---|
| 1649220542 | NPI | - | NPPES |
| 06123524 | Other | IL | BLUE CROSS BLUE SHIELD |
| 051812 | Other | IL | HEALTH ALLIANCE |
| 036078556 | Medicaid | IL | |
| 111163 | Other | IL | HEALTHLINK |
| CI3449 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036078556 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Good Samaritan Regional Hlth Center | Mount vernon, IL | Hospital |
| Community Hospital Of Staunton | Staunton, IL | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Regional Health Center | 1658272059 | 155 |
| St Marys Hospital Centralia Illinois | 6709788920 | 118 |
| Anderson Medical Group Llc | 5193792018 | 136 |
| Entity Name | Orthopaedic Center of Southern Illinois, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134171226 PECOS PAC ID: 6901705441 Enrollment ID: O20040105000416 |
| Entity Name | Good Samaritan Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
| 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 | Anderson Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sajjan K Nemani, MD 6810 State Route 162, Box 215, Maryville, IL 62062 Ph: (618) 391-6495 | Dr Sajjan K Nemani, MD 6828 State Route 162 Ste 2, Maryville, IL 62062-8558 Ph: (618) 288-5906 |
Thena Gidget Poteat, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6805 State Route 162 Ste 201, Maryville, IL 62062 Phone: 618-288-5189 |
Riaz A Naseer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6828 State Route 162, Maryville, IL 62062 Phone: 618-288-5906 Fax: 618-288-5914 |
Dr. Rahul Bansal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 24b Professional Park Dr, Maryville, IL 62062 Phone: 636-422-0016 Fax: 636-431-3513 |
Dr. Sanjay K Nigam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6805 State Route 162, Ste 201, Maryville, IL 62062 Phone: 618-288-5019 Fax: 618-288-5059 |