| Majed A Koleilat, MD | |
|
421 Chestnut St, Evansville, IN 47713-1227 | |
| (812) 426-9459 | |
| (812) 858-4546 |
| Full Name | Majed A Koleilat |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 29 Years |
| Location | 421 Chestnut St, Evansville, Indiana |
| 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 |
|---|---|---|---|
| 1922175694 | NPI | - | NPPES |
| 000000381373 | Other | IN | ANTHEM |
| 200538870 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 01061301A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Gibson General Hospital | Princeton, IN | Hospital |
| Memorial Hospital And Health Care Center | Jasper, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Clinic Inc | 3375610116 | 353 |
| Entity Name | Deaconess Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Majed A Koleilat, MD Po Box 3868, Evansville, IN 47737-3868 Ph: (812) 426-9459 | Majed A Koleilat, MD 421 Chestnut St, Evansville, IN 47713-1227 Ph: (812) 426-9459 |
Mythili Gurram, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 827 S Green River Rd, Evansville, IN 47715 Phone: 812-473-7225 | |
Jason F White, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6221 Physicians Ct, Suite 1, Evansville, IN 47715 Phone: 812-479-3153 Fax: 812-473-8166 | |
Frank J Amodio, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3700 Bellemeade Avenue, Suite 201, Evansville, IN 47714 Phone: 812-479-3153 Fax: 812-473-8166 | |
Anne P Mclaughlin, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9459 Fax: 812-858-4546 |