| Randall S Pass, MD | |
|
1506 S. Sioux Dr, Marion, IL 62959-0000 | |
| (618) 997-5270 | |
| (618) 997-5029 |
| Full Name | Randall S Pass |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1506 S. Sioux Dr, Marion, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831149228 | NPI | - | NPPES |
| 370966854023 | Medicaid | IL | |
| 10007546 | Other | IL | BCBS |
| 163392 | Other | IL | HEALTH ALLIANCE SHAWNEE HEALTH CARE |
| CF3444 | Other | IL | MEDICARE RAIL ROAD |
| 036116809 | Medicaid | IL | |
| 10032052 | Other | IL | BCBS SHAWNEE HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41607 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 036-116809 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall S Pass, MD Po Box 577, Carterville, IL 62918-0577 Ph: (618) 985-8221 | Randall S Pass, MD 1506 S. Sioux Dr, Marion, IL 62959-0000 Ph: (618) 997-5270 |
Robert Joseph Tiffin Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Veterans Admin Hosp, Marion, IL 62959 Phone: 618-998-5617 Fax: 618-998-5697 | |
Douglas C Brown, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1506 N.sioux Dr, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Dr. Casie E Mosley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Meshach Vedanayagam Samuel, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Christopher Glazik Jr., FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Renato Ralota Katubig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 West Cherry Street, Suite B, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Shobha Dayal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St Dept Of, Marion, IL 62959 Phone: 618-997-5311 |