| Jack J Hall, MD | |
|
619 E Mason St Ste 4p57, Springfield, IL 62701 | |
| (217) 788-0706 | |
| (217) 525-2535 |
| Full Name | Jack J Hall |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 36 Years |
| Location | 619 E Mason St Ste 4p57, Springfield, 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 |
|---|---|---|---|
| 1558337857 | NPI | - | NPPES |
| 200063500 | Medicaid | IN | |
| P01427268 | Other | IL | RAILROAD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Clares Hospital | Weston, WI | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 479 |
| Mchs Hospitals Inc | 5698071173 | 1045 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack J Hall, MD 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 Ph: (217) 788-0706 | Jack J Hall, MD 619 E Mason St Ste 4p57, Springfield, IL 62701 Ph: (217) 788-0706 |
Zachariah Gurnsey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-8156 | |
Fadel Ahmed Bofarrag, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D434, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7063 | |
Winston J Townsend, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 S Macarthur Blvd, Springfield, IL 62704 Phone: 217-789-1403 Fax: 217-789-1825 | |
William R Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-698-8012 | |
Dr. Susan M. O'neal, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Beachview Ln, Springfield, IL 62712 Phone: 217-529-2691 | |
Dr. Mukul Bhattarai, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7877 | |
Nathalie Emma-marie Foray, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1229 |