| Benjamin William Phillips, MD | |
|
180 S Main St, Canton, IL 61520-2608 | |
| (309) 647-0201 | |
| (309) 649-6880 |
| Full Name | Benjamin William Phillips |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 180 S Main St, Canton, 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 |
|---|---|---|---|
| 1275678021 | NPI | - | NPPES |
| 036118301 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-118301 (Illinois) | Primary |
| 208000000X | Pediatrics | 036118301 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spoon River Home Health Services | Farmington, IL | Home health agency |
| Western Ill Home Hlth Care In | Monmouth, IL | Home health agency |
| Hospice Compassus - Northwest Illinois | Galesburg, IL | Hospice |
| Graham Hospital Association | Canton, IL | Hospital |
| Graham Hospital Association | Canton, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Loft Rehab & Nursing Of Canton | Canton, IL | Nursing home |
| Graham Hospital | Canton, IL | Nursing home |
| Renaissance Care Center | Canton, IL | Nursing home |
| Clayberg, The | Cuba, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 124 |
| Advanced Physical Therapy Services, Ltd. | 9133101462 | 216 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin William Phillips, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Benjamin William Phillips, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
John M Mccarthy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8949 |
Jimmie Marquette Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |
Dr. Gail D Williamson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 762 E Chestnut St, Canton, IL 61520 Phone: 309-353-6301 Fax: 844-813-1772 |
Kenneth R. Krock, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |