| Mr Gautam Jha, MD | |
|
1325 W. Whittaker, Suite D, Salem, IL 62881 | |
| (618) 740-0300 | |
| (618) 740-0301 |
| Full Name | Mr Gautam Jha |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 1325 W. Whittaker, Salem, 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 |
|---|---|---|---|
| 1447314737 | NPI | - | NPPES |
| 036096423 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036096423 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Salem Township Hospital | Salem, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Entity Name | Salem Township Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gautam Jha, MD 1325 W. Whittaker, Suite D, Salem, IL 62881 Ph: (618) 740-0300 | Mr Gautam Jha, MD 1325 W. Whittaker, Suite D, Salem, IL 62881 Ph: (618) 740-0300 |
Dr. Seth Hahs, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1275 Hawthorn Rd, Salem, IL 62881 Phone: 618-548-4545 Fax: 618-548-4577 | |
Dr. Miriam A. Baumgart, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Whittaker St, Salem, IL 62881 Phone: 618-548-3922 Fax: 618-548-7759 | |
Dr. Palaniappan Suppiah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1321 W Whittaker St, Salem, IL 62881 Phone: 618-548-0466 Fax: 618-548-4512 |