| Dr Syed Ahmed Shah, MD | |
|
1007 Ml King Dr, Suite 1, Centralia, IL 62801-3003 | |
| (618) 533-9577 | |
| (618) 533-9588 |
| Full Name | Dr Syed Ahmed Shah |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 46 Years |
| Location | 1007 Ml King Dr, Centralia, 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 |
|---|---|---|---|
| 1508867300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036097235 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Good Samaritan Regional Hlth Center | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health Saint Louis University Hospital | Saint louis, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Washington County Hospital | Nashville, IL | Hospital |
| Ssm Health Good Samaritan Hospital - Mt Vernon | Mount vernon, IL | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Regional Health Center | 1658272059 | 155 |
| St Marys Hospital Centralia Illinois | 6709788920 | 118 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Syed Ahmed Shah, MD Po Box 431, Centralia, IL 62801-9107 Ph: (618) 533-9577 | Dr Syed Ahmed Shah, MD 1007 Ml King Dr, Suite 1, Centralia, IL 62801-3003 Ph: (618) 533-9577 |
Dr. Robert Mitchell Norman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 |