Patrick J Bennett (NPI# 1174510960, PAC ID# 0042281818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1174510960 |
| PAC ID by PECOS | 0042281818 |
| Professional Enrollment ID | I20171012001597 |
| Full Name | Patrick J Bennett |
| Organization Legal Name | MID AMERICA RADIOLOGY SC |
| Address |
400 N Pleasant Ave Centralia IL 62801-3056 |
| Phone Number | 6184368000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294797353 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| 141351 | CLAY COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 N Pleasant Ave, Centralia, IL 62801-3056 | 6184368000 | MID AMERICA RADIOLOGY SC |
| 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6188994600 | MID AMERICA RADIOLOGY SC |
| Organization Legal Name | MID AMERICA RADIOLOGY SC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neetin C Patel | Diagnostic Radiology | Mid America Radiology Sc | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Miguel Gelman | Diagnostic Radiology | Mid America Radiology Sc | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| John R Willis | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Prashanth C Shekar | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Jerrold C Willis | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Anthony N Sodd | Diagnostic Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Sanjiv Makhecha | Diagnostic Radiology | Mid America Radiology Sc | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Timothy Joseph Carmody | Interventional Radiology | Mid America Radiology Sc | 200 Health Care Dr, Greenville, IL 62246-1154 |
| Clarence R Reilly | Diagnostic Radiology | Mid America Radiology Sc | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Kent Smith Quinn | Diagnostic Radiology | Mid America Radiology Sc | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Street Address |
400 N PLEASANT AVE |
| City | CENTRALIA |
| State | IL |
| Zip | 62801-3056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hong Chen | Pathology | St Louis University | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Robert N L Corprew | Family Medicine | Midwest Emergency Centralia Campus Associates, Inc. | 400 N Pleasant Ave, St Mary's Hospital Centralia Il, Centralia, IL 62801-3056 |
| Todd W Riley | Certified Registered Nurse Anesthetist (crna) | St Marys Hospital Centralia Illinois | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Joon S Ahn | Hand Surgery | St Marys Hospital Centralia Illinois | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Vasant M Patel | General Surgery | St Marys Hospital Centralia Illinois | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Neetin C Patel | Diagnostic Radiology | Mid America Radiology Sc | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Joanna E Janas-kaminsky | Internal Medicine | St Marys Hospital Centralia Illinois | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Jacqueline Jones Toal | Nurse Practitioner | St Marys Hospital Centralia Illinois | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Faron J Fox | Emergency Medicine | Midwest Emergency Centralia Campus Associates, Inc. | 400 N Pleasant Ave, St Mary's Hospital Centralia Il, Centralia, IL 62801-3056 |
| Miguel Gelman | Diagnostic Radiology | Mid America Radiology Sc | 400 N Pleasant Ave, Centralia, IL 62801-3056 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A West | Psychiatry | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Bernard E Rerri | Orthopedic Surgery | 938 Ml King Dr, Centralia, IL 62801 | |
| Balavittal Varanasi | Family Medicine | 936 Martin Luther King Dr, Centralia, IL 62801 | |
| Corrinne Kleiboeker | Clinical Social Worker | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Kurt S Williams | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Joshua J Berger | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Tammy L Pike | Clinical Nurse Specialist | Physician Services Corporation of Southern Illinois Inc | 1054 M L King Dr, Suite 105, Centralia, IL 62801-3000 |
| Ronald D Lyons | Clinical Social Worker | 1065 M L King Dr, Centralia, IL 62801-3001 | |
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Mark A Murfin Jr. | General Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | |
| Find all physicians in zip 62801 | |||
| City | CENTRALIA |
| Zip Code | 62801 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CENTRALIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Patrick J Bennett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.