| Dr Jay Tyler Rohde, MD | |
|
10 Saint Clare Ct, Washington, IL 61571-9239 | |
| (309) 886-4000 | |
| Not Available |
| Full Name | Dr Jay Tyler Rohde |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 10 Saint Clare Ct, Washington, 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 |
|---|---|---|---|
| 1457671745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036135469 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036.135469 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Francis Medical Center | Peoria, IL | Home health agency |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| 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 Jay Tyler Rohde, MD 10 Saint Clare Ct, Washington, IL 61571-9239 Ph: (309) 886-4000 | Dr Jay Tyler Rohde, MD 10 Saint Clare Ct, Washington, IL 61571-9239 Ph: (309) 886-4000 |
Jon Byler, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4101 | |
Shelly Shallat, Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Scott Carlson, Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4003 Fax: 309-886-4116 | |
Kayla Marie Freeburg, APN, PNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-624-2277 | |
Sarah Anderson Joseph, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 |