| Jaafar Bermani, MD | |
|
129 N 8th St, East St Louis, IL 62201 | |
| (618) 482-7242 | |
| (314) 810-1399 |
| Full Name | Jaafar Bermani |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 129 N 8th St, East St Louis, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699779033 | NPI | - | NPPES |
| 036052408 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A29471 (California) | Secondary |
| 208600000X | Surgery | 036052408 (Illinois) | Primary |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932275641 PECOS PAC ID: 9032021373 Enrollment ID: O20031104000520 |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1053425124 PECOS PAC ID: 9032021373 Enrollment ID: O20080422000666 |
| Entity Name | Sanburg Emergency Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992337000 PECOS PAC ID: 4688003957 Enrollment ID: O20200408000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaafar Bermani, MD 14351 Clarissa Ln, Tustin, CA 92780-2211 Ph: (714) 731-2030 | Jaafar Bermani, MD 129 N 8th St, East St Louis, IL 62201 Ph: (618) 482-7242 |
Bruce Jones, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 N 8th St, East St Louis, IL 62201 Phone: 618-482-7242 Fax: 314-810-1399 | |
Jose Ramon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, East St Louis, IL 62201 Phone: 618-482-7242 Fax: 314-810-1399 |