| Dr Siddharth B Jani, MD | |
|
1106 Oak St, Mount Carmel, IL 62863-2444 | |
| (618) 263-6575 | |
| (618) 262-4468 |
| Full Name | Dr Siddharth B Jani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 1106 Oak St, Mount Carmel, 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 |
|---|---|---|---|
| 1497757595 | NPI | - | NPPES |
| 036067875 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036067875 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Gibson General Hospital | Princeton, IN | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Oakview Nursing & Rehab | Mount carmel, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Hospital Physician Services, Inc | 3971671330 | 123 |
| Gibson General Hospital Inc | 5991788069 | 20 |
| Owensboro Medical Practice, Pllc | 0446157671 | 17 |
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
| Wabash General Hospital District | 8022908185 | 54 |
| Wabash General Hospital District | 8022908185 | 54 |
| Entity Name | Gibson General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558346007 PECOS PAC ID: 5991788069 Enrollment ID: O20040609001512 |
| Entity Name | Gibson General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588143275 PECOS PAC ID: 5991788069 Enrollment ID: O20050131000887 |
| Entity Name | Good Samaritan Hospital Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Siddharth B Jani, MD 1106 Oak St, Mount Carmel, IL 62863-2444 Ph: (618) 263-6575 | Dr Siddharth B Jani, MD 1106 Oak St, Mount Carmel, IL 62863-2444 Ph: (618) 263-6575 |
Marlon D Jordan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-240-2740 Fax: 618-263-6479 | |
Dr. Lawrence P Jennings, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 College Dr, Suite A, Mount Carmel, IL 62863 Phone: 618-262-5113 |