| Mrs Lakshmi Manogna Chintalacheruvu, MD | |
|
1400 Pin Oak Dr, Carterville, IL 62918-1600 | |
| (618) 985-3333 | |
| (618) 985-1318 |
| Full Name | Mrs Lakshmi Manogna Chintalacheruvu |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 12 Years |
| Location | 1400 Pin Oak Dr, Carterville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417330283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 036156370 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lakshmi Manogna Chintalacheruvu, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Mrs Lakshmi Manogna Chintalacheruvu, MD 1400 Pin Oak Dr, Carterville, IL 62918-1600 Ph: (618) 985-3333 |
Dr. Muhammad Jawad Popalzai, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Drive, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1318 | |
Deepak Malhotra, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1400 Pin Oak Drive, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1318 | |
Dr. John Robert Clement, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1318 | |
Jennifer U Obasi, MD Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1318 | |
Zahra Alsultan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1307 |