Southern Illinois Internal Medicine Ltd - Medicare Primary Care in Belleville, IL

Southern Illinois Internal Medicine Ltd is a medicare enrolled primary clinic (Internal Medicine) in Belleville, Illinois. The current practice location for Southern Illinois Internal Medicine Ltd is 4600 Memorial Drive, Suite 310, Belleville, Illinois. For appointments, you can reach them via phone at (618) 235-8720. The mailing address for Southern Illinois Internal Medicine Ltd is 4600 Memorial Drive, Suite 310, Belleville, Illinois and phone number is (618) 235-8720.

Southern Illinois Internal Medicine Ltd is licensed to practice in Illinois (license number ). The clinic also participates in the medicare program and its NPI number is 1376630103. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 235-8720.

Contact Information

Southern Illinois Internal Medicine Ltd
4600 Memorial Drive
Suite 310
Belleville
IL 62226-5366
(618) 235-8720
(618) 235-8725

Primary Care Clinic Profile

Full NameSouthern Illinois Internal Medicine Ltd
SpecialityInternal Medicine
Location4600 Memorial Drive, Belleville, Illinois
Authorized Official Name and PositionMazhar H Lakho (OWNER PHYSICIAN)
Authorized Official Contact6182358720
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Illinois Internal Medicine Ltd
4600 Memorial Drive
Suite 310
Belleville
IL 62226-5366

Ph: (618) 235-8720
Southern Illinois Internal Medicine Ltd
4600 Memorial Drive
Suite 310
Belleville
IL 62226-5366

Ph: (618) 235-8720

NPI Details:

NPI Number1376630103
Provider Enumeration Date10/05/2006
Last Update Date03/07/2008

Medicare PECOS Information:

Medicare PECOS PAC ID2769567346
Medicare Enrollment IDO20080306000287

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Medical Identifiers

Medical identifiers for Southern Illinois Internal Medicine Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376630103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Illinois Internal Medicine Ltd acts as a billing entity for following providers:
Provider NameMazhar H Lakho
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811997380
PECOS PAC ID: 7012904691
Enrollment ID: I20040427000350

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Provider NameRachel Lauren Heft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760846414
PECOS PAC ID: 5991098667
Enrollment ID: I20160719001647

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