| Kaif Mohammed Yusuf Mansuri, MD | |
|
1006 S Division St, Carterville, IL 62918 | |
| (618) 519-9200 | |
| (618) 985-3774 |
| Full Name | Kaif Mohammed Yusuf Mansuri |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1006 S Division St, Carterville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326429242 | NPI | - | NPPES |
| 036145712 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036145712 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Franklin Williamson Bi County | Marion, IL | Home health agency |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Health Service And Development Corp | 1658285671 | 50 |
| Trinity Medical Staffing Llc | 1759712698 | 24 |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| 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 |
| Entity Name | Trinity Medical Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaif Mohammed Yusuf Mansuri, MD 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200 | Kaif Mohammed Yusuf Mansuri, MD 1006 S Division St, Carterville, IL 62918 Ph: (618) 519-9200 |
James E Wachter, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101 |