| Prasad V Kandula, MD | |
|
4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 | |
| (618) 233-3066 | |
| Not Available |
| Full Name | Prasad V Kandula |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 42 Years |
| Location | 4600 Memorial Dr Ste W1, Belleville, 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 |
|---|---|---|---|
| 1164518460 | NPI | - | NPPES |
| 036086651 | Medicaid | IL | |
| 1164518460 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Belleville, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Sparta Community Hospital | Sparta, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 448 |
| Prairie Cardiovascular Consultants Ltd | 3173435880 | 94 |
| Entity Name | Prairie Cardiovascular Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982714218 PECOS PAC ID: 3173435880 Enrollment ID: O20031103000090 |
| Entity Name | Fairview Heights Medical Group SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad V Kandula, MD 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 Ph: (618) 233-6044 | Prasad V Kandula, MD 4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 Ph: (618) 233-3066 |
Dr. Dennis P Larson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502 |
Kathleen K Fournier, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 |
Eldon Trame, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475 |
Dr. Vibhu Dhawan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 |
Anand P. Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 |
Kashif Shahzad Bhutto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 |
Dr. David Nelson Pfohl, MD, FACP, GAQ Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518 |