| Dr Jacob Peter Holton, MD | |
|
2200 E Washington St, Bloomington, IL 61701-4364 | |
| (309) 662-3311 | |
| Not Available |
| Full Name | Dr Jacob Peter Holton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2200 E Washington St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821527201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125070487 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036.152725 (Illinois) | Primary |
| Entity Name | St. Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871547414 PECOS PAC ID: 8921901620 Enrollment ID: O20040129001106 |
| Entity Name | Saint James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
| Entity Name | St Mary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023062312 PECOS PAC ID: 9032021258 Enrollment ID: O20080303000228 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Peter Holton, MD 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 662-3311 | Dr Jacob Peter Holton, MD 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 662-3311 |
Dr. Richard Sabbun, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-665-5925 | |
Matthew Oldenburg, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14880 Old Colonial Rd, Bloomington, IL 61705 Phone: 309-828-4641 | |
Sam Pittmon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Dr. David Gill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Conway Cir, Bloomington, IL 61704 Phone: 217-621-8720 | |
Thomas P Fiero, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Mr. Cedric Joshua Sanders, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Rick Anderson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1400 |