Dr Theodore Seth Thomas, MD | |
1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 | |
(800) 647-2098 | |
(314) 362-3192 |
Full Name | Dr Theodore Seth Thomas |
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Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 1418 Cross St, Shiloh, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326359837 | NPI | - | NPPES |
200008314 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036166718 (Illinois) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 036166718 (Illinois) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
Mailing Address | Practice Location Address |
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Dr Theodore Seth Thomas, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (800) 647-2098 | Dr Theodore Seth Thomas, MD 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269-2914 Ph: (800) 647-2098 |
Dr. Brett Howard Herzog, MD PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. John L Visconti, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. Alfred O Greco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 | |
Dr. Muhammad Farooq Asghar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Cross St Ste 2114, Shiloh, IL 62269 Phone: 618-233-2220 Fax: 618-233-2555 | |
Dr. Laura Ann Crandall, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1167 Fortune Blvd, Shiloh, IL 62269 Phone: 618-207-6900 Fax: 618-207-6901 | |
Jennifer Lynn Brenneman Neville, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St Ste 250, Shiloh, IL 62269 Phone: 618-236-8000 |