| Prof James Louis Schutzenhofer, MD | |
|
1050 Martin Luther King Drive, Centralia, IL 62801 | |
| (618) 545-1705 | |
| (618) 545-1703 |
| Full Name | Prof James Louis Schutzenhofer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 1050 Martin Luther King Drive, Centralia, 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 |
|---|---|---|---|
| 1851392229 | NPI | - | NPPES |
| 036088228 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036088228 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Home Care - Crossroads | Mount vernon, IL | Home health agency |
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Washington County Hospital | Nashville, IL | Hospital |
| Centralia Manor | Centralia, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Hospital Centralia Illinois | 6709788920 | 38 |
| James L Schutzenhofer Md Llc | 9830143957 | 2 |
| 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 |
| Entity Name | James L Schutzenhofer Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861423659 PECOS PAC ID: 9830143957 Enrollment ID: O20050310000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Prof James Louis Schutzenhofer, MD 1050 Martin Luther King Drive, Centralia, IL 62801 Ph: (618) 545-1705 | Prof James Louis Schutzenhofer, MD 1050 Martin Luther King Drive, Centralia, IL 62801 Ph: (618) 545-1705 |
Dr. Rajendra R Shroff, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr, Suite 101, Centralia, IL 62801 Phone: 618-532-5700 Fax: 618-532-7390 | |
Maria Riaz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Mr. Aziz U Rahman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 M L King Dr, Suite 109, Centralia, IL 62801 Phone: 618-532-0998 Fax: 618-532-0304 | |
Dr. Paul S Edwards, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Martin Luther King Drive, Suite 108, Centralia, IL 62801 Phone: 618-532-3517 Fax: 618-532-0801 | |
Dr. Stephen T Ang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 120, Centralia, IL 62801 Phone: 618-532-1688 Fax: 618-532-1689 | |
Gibran Hamid Mahmud, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1052 M L King Dr, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Dr. Suresh Krishnamoorthy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1054 M L King Dr, Suite 126, Centralia, IL 62801 Phone: 618-533-5500 Fax: 618-533-5501 |