| Mr Kevin C Chen, MD | |
|
3405 Office Park Dr, Marion, IL 62959-6478 | |
| (618) 997-8412 | |
| (618) 997-3726 |
| Full Name | Mr Kevin C Chen |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 29 Years |
| Location | 3405 Office Park Dr, Marion, 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 |
|---|---|---|---|
| 1740291780 | NPI | - | NPPES |
| 01635188 | Other | IL | BCBS |
| 036108368 | Other | IL | ILLINOIS LICENSE |
| 036108368 | Medicaid | IL | |
| 104897 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36108368 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 036108368 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angel Care Center Llc | Pinckneyville, IL | Dialysis facility |
| Fmc - Williamson County | Marion, IL | Dialysis facility |
| Fmc - Carbondale | Carbondale, IL | Dialysis facility |
| Davita - Benton Dialysis | Benton, IL | Dialysis facility |
| Fmc - Duquoin | Duquoin, IL | Dialysis facility |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Pinckneyville Community Hospital | Pinckneyville, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Marshall Browning Hospital | Du quoin, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Kidney Institute, L.l.c. | 5991743262 | 2 |
| Entity Name | Advanced Kidney Institute, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932237815 PECOS PAC ID: 5991743262 Enrollment ID: O20050419000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin C Chen, MD Po Box 1887, Marion, IL 62959 Ph: (618) 997-8412 | Mr Kevin C Chen, MD 3405 Office Park Dr, Marion, IL 62959-6478 Ph: (618) 997-8412 |
Mohammed Rahimparast, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2309 Spring Ln, Marion, IL 62959 Phone: 618-993-8551 | |
Dr. Elizabeth Ellen Lawler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1129 N Carbon St, Marion, IL 62959 Phone: 618-998-0123 Fax: 887-618-9533 | |
Shelley Falik, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3307 W Commercial Rd, Marion, IL 62959 Phone: 902-235-2526 | |
Faisel Ahmad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Deyoung St, Marion, IL 62959 Phone: 618-993-5686 Fax: 618-997-6250 | |
Dr. Zaid Anwar Al-dahabrah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 | |
Dr. Parag Arvind Madhani, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3331 W Deyoung St, Suite 100, Marion, IL 62959 Phone: 618-998-7600 Fax: 618-997-6680 | |
Bei Wang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2703 Prestwick Way, Marion, IL 62959 Phone: 469-619-5782 |