| Sadashivaiah Bhaskar, MD | |
|
3412 Office Park Dr, Marion, IL 62959-6477 | |
| (618) 993-0404 | |
| (618) 993-1717 |
| Full Name | Sadashivaiah Bhaskar |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3412 Office Park Dr, Marion, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417002098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036123769 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 2020-04850 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 2020-04850 (North Carolina) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sadashivaiah Bhaskar, MD 3412 Office Park Dr, Marion, IL 62959-6477 Ph: (618) 993-0404 | Sadashivaiah Bhaskar, MD 3412 Office Park Dr, Marion, IL 62959-6477 Ph: (618) 993-0404 |
Carline Mekem Mbeumo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Dr. Ronald Chediak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 W Deyoung St, Ste 524, Marion, IL 62959 Phone: 618-993-1421 | |
Mrs. Bindu Reddy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 East Walnut, Suite 6, Marion, IL 62901 Phone: 618-993-0404 Fax: 618-993-1717 | |
Dr. Ma Claravel Baricuatro Criste, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2102 Windsor Dr, Marion, IL 62959 Phone: 618-364-0348 | |
Erica Marie Grimm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Dr, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mr. Jeremy Paul Gerwe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3412 Office Park Drive, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 |