| Dr Danny M Sartore, MD | |
| 
					1600 W Walnut St, Passavant Area Hospital, Jacksonville, IL 62650-1136  | |
| (217) 245-9541 | |
| Not Available | 
| Full Name | Dr Danny M Sartore | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 1600 W Walnut St, Jacksonville, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922096973 | NPI | - | NPPES | 
| 036079801 | Medicaid | IL | |
| 08415040 | Other | IL | BLUE CROSS BLUE SHIELD | 
| 104409 | Other | IL | HEALTHLINK GROUP NUMBER | 
| 32490 | Other | IL | PERSONAL CARE | 
| 178809 | Other | IL | HEALTHLINK UPIN NUMBER | 
| 085972 | Other | IL | HEALTH ALLIANCE NUMBER | 
| L031806 | Other | IL | TRICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 036079801 (Illinois) | Primary | 
| Entity Name | Jacksonville Crnas Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821302068 PECOS PAC ID: 2961681523 Enrollment ID: O20110127001154  | 
| Entity Name | North American Partners In Anesthesia Illinois Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Danny M Sartore, MD 4009 Surry Place Ln, Springfield, IL 62711-8109 Ph: () -  | Dr Danny M Sartore, MD 1600 W Walnut St, Passavant Area Hospital, Jacksonville, IL 62650-1136 Ph: (217) 245-9541  | 
Dr. Peter Roodhouse, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541  |