| Jonathan Burt, MD | |
|
1 Memorial Dr, Alton, IL 62002-6722 | |
| (618) 463-7240 | |
| (618) 463-7216 |
| Full Name | Jonathan Burt |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1 Memorial Dr, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215421805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 94-09644 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | 94-09644 (Kansas) | Secondary |
| 208M00000X | Hospitalist | 036175448 (Illinois) | Primary |
| Entity Name | University Of Kansas School Of Medicine Wichita Medical Practice Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639143712 PECOS PAC ID: 3577464841 Enrollment ID: O20040119000674 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151112002441 |
| Entity Name | Hospitalist Medicine Physicians Of Texas-tcg Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902384464 PECOS PAC ID: 3678825312 Enrollment ID: O20200127001753 |
| Entity Name | Cogent Healthcare Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20220121000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Burt, MD Po Box 959203, Saint Louis, MO 63195 Ph: (618) 463-7240 | Jonathan Burt, MD 1 Memorial Dr, Alton, IL 62002-6722 Ph: (618) 463-7240 |
Winnie Shaba, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Ahmad Osama Rez, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 314-317-0600 Fax: 314-317-0606 | |
Dr. John Albert Richards Jr., M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Sewuese Akuse, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Nazanin Kheirkhahan, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 |