| Jan Bowman-marsh, MD | |
|
3333 W Deyoung St, Marion, IL 62959-5884 | |
| (618) 998-7492 | |
| (618) 998-7493 |
| Full Name | Jan Bowman-marsh |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3333 W Deyoung St, Marion, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992766190 | NPI | - | NPPES |
| 036076429 | Other | IL | BCBS |
| 036076429 | Medicaid | IL | |
| P00172788 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036076429 (Illinois) | Primary |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Bowman-marsh, MD Po Box 708850, Sandy, UT 84070-8850 Ph: (866) 869-2397 | Jan Bowman-marsh, MD 3333 W Deyoung St, Marion, IL 62959-5884 Ph: (618) 998-7492 |
Robert Joseph Tiffin Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Veterans Admin Hosp, Marion, IL 62959 Phone: 618-998-5617 Fax: 618-998-5697 | |
Douglas C Brown, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1506 N.sioux Dr, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Dr. Casie E Mosley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Meshach Vedanayagam Samuel, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Christopher Glazik Jr., FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Renato Ralota Katubig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 West Cherry Street, Suite B, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Shobha Dayal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St Dept Of, Marion, IL 62959 Phone: 618-997-5311 |