Dr Roger Sebastian Shinnerl, MD in Carbondale, IL

Dr Roger Sebastian Shinnerl, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Carbondale, Illinois. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Southern Illinois Medical Services Nfp and his current practice location is 305 W Jackson St Ste 206, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 457-3006.

Dr Roger Sebastian Shinnerl is licensed to practice in Illinois (license number 036166938) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760684765.

Contact Information

	Dr Roger Sebastian Shinnerl, MD
	305 W Jackson St Ste 206, Carbondale, IL 62901-1474
	(618) 457-3006
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Roger Sebastian Shinnerl
Gender	Male
Speciality	Vascular Surgery
Experience	30 Years
Location	305 W Jackson St Ste 206, Carbondale, 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.

Medical Education and Training:

Dr Roger Sebastian Shinnerl graduated from medical school in 1994

NPI Data:

NPI Number: 1760684765
Provider Enumeration Date: 06/01/2007
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7719979467
Enrollment ID: I20231201001014

Medical Identifiers

Medical identifiers for Dr Roger Sebastian Shinnerl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760684765	NPI	-	NPPES
7100035620	Medicaid	KY
00001666778	Other	IN	BCBS
01063822A	Other	IN	STATE LICENSE
01063822B	Other	IN	STATE CSR
300063165	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	036166938 (Illinois)	Primary
2086S0129X	Surgery - Vascular Surgery	01063822A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Medical Services Nfp	3678677390	254

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Roger Sebastian Shinnerl allows following entities to bill medicare on his behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roger Sebastian Shinnerl is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Roger Sebastian Shinnerl, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Dr Roger Sebastian Shinnerl, MD 305 W Jackson St Ste 206, Carbondale, IL 62901-1474 Ph: (618) 457-3006

Reviews and Comments

Surgery Doctors in Carbondale, IL

Cristian Sorin Sarateanu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835
Antonio Desean Lozada, Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Dr. Cynthia Aks, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 E Main Suite C1, The Breast Center University Mall, Carbondale, IL 62901 Phone: 618-457-2281 Fax: 618-529-0573
Dr. Roy R Danks, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Dr. Abraham El-sedfy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008
Dr. David D Clutts, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128
Dr. Satyadeep Bhattacharya, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901 Phone: 618-457-3006 Fax: 618-457-3008

Dr Roger Sebastian Shinnerl, MD - Medicare Vascular Surgery in Carbondale, IL