| Dr Jeffrey A Mcfadden, DO | |
|
1850 Gateway Dr, Sycamore, IL 60178-3192 | |
| (815) 758-8671 | |
| (815) 758-5605 |
| Full Name | Dr Jeffrey A Mcfadden |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1850 Gateway Dr, Sycamore, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487678652 | NPI | - | NPPES |
| 147HR | Other | NC | BCBS OF NC |
| 02002556A | Other | IN | STATE LICENSE NUMBER |
| 812085 | Other | NC | PARTNERS/BLUE MEDICARE |
| 02002556B | Other | IN | STATE CONTROLLED LIC |
| 5907839 | Medicaid | NC | |
| 036104766 | Other | IL | STATE LICENSE NUMBER |
| 336090764 | Other | IL | STATE CONTROLLED LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02002556A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 036104766 (Illinois) | Primary |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey A Mcfadden, DO 602 W University Ave, Urbana, IL 61801-2530 Ph: (217) 383-6792 | Dr Jeffrey A Mcfadden, DO 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
Ms. Karen M Federici, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2560 Hauser Ross Dr Ste 425, Sycamore, IL 60178 Phone: 815-784-6300 | |
Asra F Khan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-217-3252 Fax: 815-639-8451 | |
William Baxter, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 W Prairie Dr, Suite J, Sycamore, IL 60178 Phone: 815-895-3354 Fax: 815-895-3345 | |
Dr. Abdul Bilal Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr Ste 100, Sycamore, IL 60178 Phone: 815-217-3252 Fax: 815-756-4941 | |
James Michael Matheu, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1830 Mediterranean Dr, Sycamore, IL 60178 Phone: 815-306-2700 | |
Jamison D Allen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2560 Hauser Ross Dr, Suite 450, Sycamore, IL 60178 Phone: 703-964-8199 Fax: 815-478-3070 | |
Timothy J Ruetten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 954 West State Street, Sycamore, IL 60118 Phone: 815-895-9144 Fax: 815-899-4234 |