| Kevin K Pham, DO | |
|
4500 Memorial Dr, Belleville, IL 62226-5360 | |
| (618) 257-6220 | |
| Not Available |
| Full Name | Kevin K Pham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 4500 Memorial Dr, Belleville, 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 |
|---|---|---|---|
| 1144754607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036157104 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036157104 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bjc Hospice | Glen carbon, IL | Hospice |
| Memorial Hospital | Belleville, IL | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 448 |
| Entity Name | Good Samaritan Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Fairview Heights Medical Group SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin K Pham, DO Po Box 959354, Saint Louis, MO 63195-1863 Ph: (618) 257-6220 | Kevin K Pham, DO 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220 |
Bushra Shaukat, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 |
Ijeoma Gloria Okeke, MD, MHA Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 |
Akhil Chapagain, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Apt 2e, Belleville, IL 62220 Phone: 618-234-2120 |
Dr. Shadi Adel Altwal, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 |
Sumanth Singireddy Reddy, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 |
Farhanaz Chowdhury, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 |
Sana Usman, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St, Suite 300, Belleville, IL 62220 Phone: 618-233-5480 Fax: 618-222-4790 |