| Tiffany Ward, MD | |
|
305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | |
| (618) 351-4972 | |
| (618) 351-6522 |
| Full Name | Tiffany Ward |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 20 Years |
| Location | 305 W Jackson St Ste 103, Carbondale, 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 |
|---|---|---|---|
| 1619186269 | NPI | - | NPPES |
| 214881 | Other | IL | GROUP MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036141201 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 299 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Ward, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Tiffany Ward, MD 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 Ph: (618) 351-4972 |
Andrea Loggini, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Yasoda Modali, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 374 E.grand Ave, Siuc Student Health Center, Carbondale, IL 62901 Phone: 618-453-4346 Fax: 618-453-2347 | |
Dr. Alaa Mohamed Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Simeon Grater, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 35 Albany Rd, Carbondale, IL 62903 Phone: 618-549-4688 | |
Dr. Gerson A Criste, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1390 Hope Dr, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Mostafa Abdul-rahman Farache, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Ahmed H Jafri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 |