| Dr Jason Michael Seibly, DO | |
|
1015 S Mercer Ave, Bloomington, IL 61701-7107 | |
| (309) 662-7500 | |
| Not Available |
| Full Name | Dr Jason Michael Seibly |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 23 Years |
| Location | 1015 S Mercer Ave, Bloomington, 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 |
|---|---|---|---|
| 1972789238 | NPI | - | NPPES |
| 036119851 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036119851 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Advocate Eureka Hospital | Eureka, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 912 |
| Carle West Physician Group Inc | 8921420308 | 275 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Michael Seibly, DO 611 W. Park St, Fapc, Urbana, IL 61801 Ph: () - | Dr Jason Michael Seibly, DO 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 662-7500 |
Dr. Charles Rosen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave Ste E1, Bloomington, IL 61701 Phone: 309-662-7500 Fax: 309-662-7333 | |
Dr. Keith A Kattner, D.O. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-7500 Fax: 309-662-7333 | |
Dr. Emilio M Nardone, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-7500 Fax: 309-661-4801 | |
Dr. Ann R Stroink, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-7500 Fax: 309-662-7333 |