| Mosam B Patel, MD | |
|
15 Founders Ln, Jacksonville, IL 62650-3919 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Mosam B Patel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 15 Founders Ln, Jacksonville, 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 |
|---|---|---|---|
| 1326458332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036142041 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 655 |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Mosam B Patel, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Mosam B Patel, MD 15 Founders Ln, Jacksonville, IL 62650-3919 Ph: (217) 528-7541 |
John L. Malcott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-243-9030 | |
Dr. John Andrew Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W State St, Jacksonville, IL 62650 Phone: 217-243-9471 Fax: 217-243-5359 | |
Dr. Marshall T Hale, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Agnes A Wood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. James Anthony Bohan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Dr. Michelle Colen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln Ste 100, Jacksonville, IL 62650 Phone: 217-243-0300 Fax: 217-245-6775 |