| Dr Kasiemobi Bernice Okonkwo, MD | |
|
4 Memorial Dr Ste 210, Alton, IL 62002-6704 | |
| (618) 463-5905 | |
| (618) 463-5935 |
| Full Name | Dr Kasiemobi Bernice Okonkwo |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 4 Memorial Dr Ste 210, Alton, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891365391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BP10077024 (Texas) | Secondary |
| 208M00000X | Hospitalist | 036171380 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036171380 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alton Memorial Hospital | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 115 |
| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 115 |
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| 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 Kasiemobi Bernice Okonkwo, MD 4 Memorial Dr Ste 210, Alton, IL 62002-6704 Ph: (618) 463-5905 | Dr Kasiemobi Bernice Okonkwo, MD 4 Memorial Dr Ste 210, Alton, IL 62002-6704 Ph: (618) 463-5905 |
Dr. Juletta Avagyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Bryan Everett Steele, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935 | |
Puja Gurung, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-433-6616 | |
Mr. William P Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002 Phone: 618-463-0561 Fax: 618-465-9281 | |
Dr. Anne Ugabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Dr. Danny Sarwat Shehata, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Dr. Kamaal Abdul-raheem Hicks, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723 Fax: 618-433-6299 |