| Dr Vinay Kumar Bhooma, MD | |
|
3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | |
| (618) 233-5480 | |
| (618) 222-4790 |
| Full Name | Dr Vinay Kumar Bhooma |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730317702 | NPI | - | NPPES |
| 201188610 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01072949A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01072949 (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 036150270 (Illinois) | Primary |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vinay Kumar Bhooma, MD 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480 | Dr Vinay Kumar Bhooma, MD 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480 |
Dr. Noah M Cooperstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-256-7311 | |
Dr. Patrick Bloecher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-7880 | |
Dr. Steven Allen Taylor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
Dr. Vincent Joseph Duenas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 | |
Rema Sanghavi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269 Phone: 618-624-5510 Fax: 618-624-5529 | |
Dr. Kevin L Pritchett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 | |
Dr. James Leon Jablonski Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Springfield Ct, O Fallon, IL 62269 Phone: 618-632-3565 Fax: 618-632-7693 |