| Mrs Susan L Journagan, MD | |
|
390 Office Court, Fairview Heights, IL 62208 | |
| (618) 233-7666 | |
| (618) 233-7461 |
| Full Name | Mrs Susan L Journagan |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 23 Years |
| Location | 390 Office Court, Fairview Heights, 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 |
|---|---|---|---|
| 1598987836 | NPI | - | NPPES |
| P00407830 | Other | IL | MEDICARE RR PTAN |
| 036117994 | Medicaid | IL | |
| 537563 | Other | IL | BCBS MISSOURI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036117994 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Distinctive Dermatology Ltd | 1850365842 | 5 |
| Entity Name | Distinctive Dermatology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518028398 PECOS PAC ID: 1850365842 Enrollment ID: O20040825000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan L Journagan, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 | Mrs Susan L Journagan, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 |
Dr. Eva A Hurst, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Court, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 | |
Dr. Angela Marie Sutton, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 | |
Dr. Courtney Anne Tobin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 |