Jerseyville Pain Management Center, S.c. - in Wood River, IL

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Jerseyville Pain Management Center, S.c. is a Physical Medicine & Rehabilitation - Pain Medicine based in Wood River, Illinois. Jerseyville Pain Management Center, S.c. is licensed to practice in Illinois (license number 36048379) and their current practice location is 1702 Vaughn Rd, Wood River, Illinois. It can be reached at their office (for appointments etc.) via phone at (618) 259-3321.

NPI number for Jerseyville Pain Management Center, S.c. is 1811262728 and their current mailing address is Po Box 649, Wood River, Illinois. Jerseyville Pain Management Center, S.c. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811262728.

Contact Information

Jerseyville Pain Management Center, S.c.
1702 Vaughn Rd,
Wood River, IL 62095-1898
(618) 259-3321
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJerseyville Pain Management Center, S.c.
TypeFacility
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location1702 Vaughn Rd, Wood River, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811262728
  • Provider Enumeration Date: 03/12/2012
  • Last Update Date: 03/12/2012

Medical Identifiers

Medical identifiers for Jerseyville Pain Management Center, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811262728NPI-NPPES
477779OtherILHEALTHLINK
224252OtherGHP
038009545MedicaidIL
210609OtherILMEDICARE ILLINOIS
5933000001OtherILMEDICARE P-TAN
04232007OtherILBCBS ILLINOIS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 038009545 (Illinois)Secondary
111N00000XChiropractor 038004303 (Illinois)Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 36048379 (Illinois)Primary
208VP0014XPain Medicine - Interventional Pain Medicine 36048379 (Illinois)Secondary
225100000XPhysical Therapist 70004750 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerseyville Pain Management Center, S.c. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerseyville Pain Management Center, S.c.
Po Box 649,
Wood River, IL 62095-0649

Ph: (618) 259-3321		Jerseyville Pain Management Center, S.c.
1702 Vaughn Rd,
Wood River, IL 62095-1898

Ph: (618) 259-3321

Reviews and Comments



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