Jack P Spaniol, MD in Bloomington, IL - Medicare Family Practice

Jack P Spaniol, MD is a medicare enrolled "Family Medicine" physician in Bloomington, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 308 Saint Joseph Dr, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 663-5050.

Jack P Spaniol is licensed to practice in Illinois (license number 036-07300) 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 1356379184.

Contact Information

	Jack P Spaniol, MD
	308 Saint Joseph Dr, Bloomington, IL 61701-3506
	(309) 663-5050
	(309) 662-3401

Map and Direction

Physician's Profile

Full Name	Jack P Spaniol
Gender	Male
Speciality	Family Practice
Experience	39 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.

Medical Education and Training:

Jack P Spaniol attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1985

NPI Data:

NPI Number: 1356379184
Provider Enumeration Date: 06/29/2006
Last Update Date: 03/31/2011

Medicare PECOS Information:

PECOS PAC ID: 9739185810
Enrollment ID: I20061012000384

Medical Identifiers

Medical identifiers for Jack P Spaniol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356379184	NPI	-	NPPES
036073000	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036-07300 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Osf Home Health-eastern Region	Normal, IL	Home health agency
St Joseph Medical Center	Bloomington, IL	Hospital
Saint James Hospital	Pontiac, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1543

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. Jack P Spaniol allows following entities to bill medicare on his behalf.

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

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. Jack P Spaniol 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
Jack P Spaniol, MD 308 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 663-5050	Jack P Spaniol, MD 308 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 663-5050

Reviews and Comments

Family Medicine Doctors in Bloomington, IL

Dr. Justin James Holschbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170
Daniel Marley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170
Shilpa Mehta, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322
Kenneth Wayne Birge Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Bloomington, IL 61704 Phone: 309-300-1031
Dr. Rachel Emily Immen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800
Chad Osborne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170

Jack P Spaniol, MD - Medicare Family Practice in Bloomington, IL