| Kiran Bhaskar Khanolkar, MD | |
|
640 W Washington St, Pittsfield, IL 62363-1350 | |
| (217) 285-2113 | |
| Not Available |
| Full Name | Kiran Bhaskar Khanolkar |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 640 W Washington St, Pittsfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902809536 | NPI | - | NPPES |
| 33626 | Other | BLUE CROSS BLUE SHIELD | |
| 421527584003 | Medicaid | IL | |
| O278374 | Medicaid | IA | |
| 209202605 | Medicaid | MO | |
| 421527584 | Other | TRI-CARE GROUP NUMBER | |
| 42152758407 | Other | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33370 (Iowa) | Secondary |
| 207P00000X | Emergency Medicine | 036147967 (Illinois) | Primary |
| Entity Name | Jackson County Public Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689705949 PECOS PAC ID: 1254248958 Enrollment ID: O20040120000117 |
| Entity Name | Van Buren County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316063076 PECOS PAC ID: 7214829530 Enrollment ID: O20040329001814 |
| Entity Name | Jackson County Public Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326002643 PECOS PAC ID: 1254248958 Enrollment ID: O20070103000149 |
| Entity Name | Iowa Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiran Bhaskar Khanolkar, MD 640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-2113 | Kiran Bhaskar Khanolkar, MD 640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-2113 |
David Stewart Glasgow, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 | |
Stuart L Pyatt, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 | |
Thomas A Cliatt, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 Fax: 217-285-5126 | |
Dr. Renee Ann Alonso, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 | |
James M Shumake, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 |