| Mohamed A Gashouta, MD | |
|
3315 N Seminary St, Galesburg, IL 61401-1251 | |
| (309) 344-1000 | |
| (309) 344-2405 |
| Full Name | Mohamed A Gashouta |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 21 Years |
| Location | 3315 N Seminary St, Galesburg, 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 |
|---|---|---|---|
| 1427311877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 036167903 (Illinois) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | MD-45724 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Iowa Regional Medical Center | West burlington, IA | Hospital |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Henry County Health Center | Mount pleasant, IA | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| University Of Iowa Health Care Medical Center | Iowa city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Iowa Regional Medical Center Inc | 3870496417 | 259 |
| Osf Multi-specialty Group | 3678889789 | 2123 |
| Entity Name | Southeast Iowa Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622 |
| Entity Name | Henry County Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811571417 PECOS PAC ID: 9638570740 Enrollment ID: O20210629000831 |
| Entity Name | Henry County Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed A Gashouta, MD 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: (319) 850-7425 | Mohamed A Gashouta, MD 3315 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-1000 |
Dr. Parthasarathy Srinivasan, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 834 N Seminary St Ste 501, Galesburg, IL 61401 Phone: 309-676-8123 Fax: 309-676-8455 |
Dr. Bassam Nmi Al-joundi, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3375 N Seminary St, Galesburg, IL 61401 Phone: 309-343-7775 Fax: 309-343-2726 |
Madan L Gupta, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 |
Mark A Meeker, D. O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054 |
Dr. Tammam Nmi Al-joundi, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3375 N Seminary St, Galesburg, IL 61401 Phone: 309-343-7775 Fax: 309-343-2726 |
Dr. Afshin A Khaiser, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405 |
Dr. Christopher Steele Kinne, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 834 N Seminary St, Galesburg, IL 61401 Phone: 309-343-5114 |