| Dr James Benjamin Mikeworth, MD | |
|
2500 W Reynolds St, Pontiac, IL 61764-9774 | |
| (815) 844-2001 | |
| Not Available |
| Full Name | Dr James Benjamin Mikeworth |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 2500 W Reynolds St, Pontiac, 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 |
|---|---|---|---|
| 1790927309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-132877 (Illinois) | Primary |
| 208000000X | Pediatrics | 036-132877 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Home Health-eastern Region | Normal, IL | Home health agency |
| Saint James Hospital | Pontiac, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint James Hospital | 0648187252 | 58 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| 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 | 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 James Benjamin Mikeworth, MD 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: (815) 844-2001 | Dr James Benjamin Mikeworth, MD 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: (815) 844-2001 |
Frank William Hsu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-2828 Fax: 815-842-4912 | |
Marissa C Batayola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1504 W Reynolds St, Suite C, Pontiac, IL 61764 Phone: 815-842-2893 Fax: 815-844-5960 | |
Mukesh V Patel, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152 |