| Ketan Patel, MD | |
|
530 Park Ave E, Ste 101, Princeton, IL 61356-3901 | |
| (815) 872-1221 | |
| (815) 872-2304 |
| Full Name | Ketan Patel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 530 Park Ave E, Princeton, 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 |
|---|---|---|---|
| 1114910528 | NPI | - | NPPES |
| 036083069 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036083069 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
| In-home Care Connection Home Health Services | Moline, IL | Home health agency |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Manor Court Of Princeton | Princeton, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Osf Healthcare System | 4284541806 | 77 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Ketan Patel, MD 530 Park Ave E, Ste 101, Princeton, IL 61356-3901 Ph: (815) 872-1221 | Ketan Patel, MD 530 Park Ave E, Ste 101, Princeton, IL 61356-3901 Ph: (815) 872-1221 |
Dr. Edward Doran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Park Ave E, Suite 7, Princeton, IL 61356 Phone: 815-875-8666 Fax: 815-872-0487 | |
Dr. Geetha Dodda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Park Ave E, Suite 7, Princeton, IL 61356 Phone: 815-875-8666 Fax: 815-872-0487 | |
Shitaldas Jamandas Pamnani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118 |