| Dr Shannon J Hopen, DO | |
|
201 S 14th St, Herrin Hospital, Herrin, IL 62948-3631 | |
| (618) 942-2171 | |
| (618) 351-4929 |
| Full Name | Dr Shannon J Hopen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 19 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 |
|---|---|---|---|
| 1184822371 | NPI | - | NPPES |
| 036124554 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036124554 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036124554 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Community Hospital Of Staunton | Staunton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Inpatient Anderson Health Inc | 3072908474 | 36 |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Entity Name | Midwest Emergency Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
| Entity Name | Midwest Inpatient Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon J Hopen, DO 6051 Triple Lakes Rd, Millstadt, IL 62260-3501 Ph: (618) 391-5944 | Dr Shannon J Hopen, DO 201 S 14th St, Herrin Hospital, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Dr. Varathaseelan Muthulingam, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4919 |