| Dr Simeon Grater, MD | |
|
35 Albany Rd, Carbondale, IL 62903-7605 | |
| (618) 549-4688 | |
| Not Available |
| Full Name | Dr Simeon Grater |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 35 Albany Rd, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265494850 | NPI | - | NPPES |
| CH4443 | Other | IL | RR GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
| Entity Name | Albany Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780310391 PECOS PAC ID: 5698141646 Enrollment ID: O20221017003028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Simeon Grater, MD 35 Albany Rd, Carbondale, IL 62903-7605 Ph: (618) 549-4688 | Dr Simeon Grater, MD 35 Albany Rd, Carbondale, IL 62903-7605 Ph: (618) 549-4688 |
Andrea Loggini, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Yasoda Modali, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 374 E.grand Ave, Siuc Student Health Center, Carbondale, IL 62901 Phone: 618-453-4346 Fax: 618-453-2347 | |
Dr. Alaa Mohamed Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Gerson A Criste, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1390 Hope Dr, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Mostafa Abdul-rahman Farache, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Ahmed H Jafri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 |