| Dr John Gregg Fozard, MD | |
|
5383 State Route 154, Pinckneyville, IL 62274-3342 | |
| (618) 357-2131 | |
| (618) 357-3411 |
| Full Name | Dr John Gregg Fozard |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 51 Years |
| Location | 5383 State Route 154, Pinckneyville, 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 |
|---|---|---|---|
| 1689646127 | NPI | - | NPPES |
| 7320380 | Other | IL | BCBS FMC GROUP PROVIDER # |
| 080174912 | Other | IL | MEDICARE RAILROAD |
| 036053225 | Medicaid | IL | |
| 2288028 | Other | IL | UNITED HEALTHCARE ID |
| 0027340080 | Other | IL | BCBS PHYS PROVIDER # |
| 034761 | Other | IL | HEALTH ALLIANCE ID |
| 122435 | Other | IL | HEALTHLINK PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036053225 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinckneyville Community Hospital | Pinckneyville, IL | Hospital |
| Sparta Community Hospital | Sparta, IL | Hospital |
| Pinckneyville Nursing & Rehab | Pinckneyville, IL | Nursing home |
| Coulterville Rehab & Hcc | Coulterville, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinckneyville Community Hospital | 8123921632 | 21 |
| Entity Name | Pinckneyville Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689646523 PECOS PAC ID: 8123921632 Enrollment ID: O20040131000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Gregg Fozard, MD 5383 State Route 154, Po Box 437, Pinckneyville, IL 62274-3342 Ph: (618) 357-2131 | Dr John Gregg Fozard, MD 5383 State Route 154, Pinckneyville, IL 62274-3342 Ph: (618) 357-2131 |
Beth A Bigham, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13 N Walnut St, Pinckneyville, IL 62274 Phone: 618-357-2147 Fax: 618-357-8142 | |
Dr. Sharon Lucille White-findley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5383 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-2131 Fax: 618-357-8844 | |
Robert J Davidson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13 N Walnut St, Pinckneyville, IL 62274 Phone: 618-357-2147 Fax: 618-357-8142 |