| Dr Justin James Holschbach, MD | |
|
308 Saint Joseph Dr, Bloomington, IL 61701-3506 | |
| (309) 663-5050 | |
| (309) 662-3401 |
| Full Name | Dr Justin James Holschbach |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 308 Saint Joseph Dr, 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 |
|---|---|---|---|
| 1053623330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036.132875 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 2012030856 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Home Health-eastern Region | Bloomington, IL | Home health agency |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Carle Bromenn Medical Center | Normal, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint James Hospital | 0648187252 | 74 |
| Advanced Physical Therapy Services, Ltd. | 9133101462 | 216 |
| Osf Multi-specialty Group | 3678889789 | 2123 |
| 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 Justin James Holschbach, MD 308 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 663-5050 | Dr Justin James Holschbach, MD 308 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 663-5050 |
Matthew Christian Caviness, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-300-1031 |
Thomas L Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-661-6414 Fax: 309-661-4666 |
Jermy Enrique Crespo Gonzalez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington Street, Bloomington, IL 61701 Phone: 309-665-5996 |
Kerri Lyn Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 |
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 |
Sharon Anna Varughese, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-665-5996 |
Mfowethu Theophilus Langeni, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 |