| Dr Scott Smithgall, DO | |
|
350 N Wall St, Kankakee, IL 60901-2901 | |
| (815) 933-1671 | |
| Not Available |
| Full Name | Dr Scott Smithgall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 350 N Wall St, Kankakee, 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 |
|---|---|---|---|
| 1902845027 | NPI | - | NPPES |
| 036105701-1 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-105701 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Emergency Medicine Specialists Llc | 6103071808 | 40 |
| Entity Name | Illinois Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003150962 PECOS PAC ID: 6103071808 Enrollment ID: O20130304000132 |
| Entity Name | Riverside Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548969181 PECOS PAC ID: 6204294119 Enrollment ID: O20230626002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Smithgall, DO 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: (734) 995-3764 | Dr Scott Smithgall, DO 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 933-1671 |
Dr. Vernell Johnson Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
Dr. Thaddeus Manczko, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Steven Decker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Brian Crowley, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
John Lacheta, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Timothy Moran, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
Dr. Michael Murphy, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 |