| Dr Luis C Devenecia Jr, MD | |
|
1120 N East St, Olney, IL 62450-6927 | |
| (618) 395-5222 | |
| (618) 395-8552 |
| Full Name | Dr Luis C Devenecia Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 1120 N East St, Olney, 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 |
|---|---|---|---|
| 1750495792 | NPI | - | NPPES |
| 063073 | Other | IL | HEALTH ALLIANCE |
| 036091236 | Medicaid | IL | |
| 296286 | Other | IL | HEALTH LINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036091236 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Home Care | Champaign, IL | Home health agency |
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Clay County Hospital | Flora, IL | Hospital |
| Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
| Crawford Memorial Hospital | Robinson, IL | Hospital |
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Helia Healthcare Of Olney | Olney, IL | Nursing home |
| Richland Nursing & Rehab | Olney, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 115 |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis C Devenecia Jr, MD 1120 N East St, Olney, IL 62450-6927 Ph: (618) 395-5222 | Dr Luis C Devenecia Jr, MD 1120 N East St, Olney, IL 62450-6927 Ph: (618) 395-5222 |
Mr. Arcot D Suresh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Yekaterina Fayn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-392-1139 Fax: 618-392-1138 |