| Walter A Parham, MD | |
|
2 Good Samaritan Way, Suite 220, Mount Vernon, IL 62864-2408 | |
| (618) 899-3900 | |
| (618) 899-4786 |
| Full Name | Walter A Parham |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 29 Years |
| Location | 2 Good Samaritan Way, Mount Vernon, 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 |
|---|---|---|---|
| 1487646972 | NPI | - | NPPES |
| 0010032059 | Other | IL | BCBS |
| 036112518 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036112518 (Illinois) | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 036112518 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Regional Hlth Center | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Washington County Hospital | Nashville, IL | Hospital |
| Hamilton Memorial Hospital | Mcleansboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Regional Health Center | 1658272059 | 155 |
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 120 |
| St Marys Hospital Centralia Illinois | 6709788920 | 118 |
| Entity Name | Good Samaritan Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
| 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 | Physician Services Corporation of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter A Parham, MD 2 Good Samaritan Way, Suite 220, Mount Vernon, IL 62864-2408 Ph: (618) 899-3900 | Walter A Parham, MD 2 Good Samaritan Way, Suite 220, Mount Vernon, IL 62864-2408 Ph: (618) 899-3900 |
Dr. Emmanuel Loutrianakis, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 847-736-0506 |
Dr. Iqbal M Akhter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1007 S.42nd St., Bldg A Ste. 4, Mount Vernon, IL 62864 Phone: 618-242-4626 Fax: 618-242-4638 |
Hammad Shafqat, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-1380 |
Daniel Hoffman, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864 Phone: 618-899-4000 Fax: 618-899-4790 |
Dr. Bhargava Krishna Nelluri, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4103 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-899-3500 |
Mohamed Ruzaik Ibrahim, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4115 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-315-6090 |
Kirandeep Khangura, MBBS Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4113 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-241-9071 |