| Jared Rogers, MD | |
|
702 W Chestnut St, Bloomington, IL 61701-2814 | |
| (309) 557-1400 | |
| (309) 557-1461 |
| Full Name | Jared Rogers |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 702 W Chestnut St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285641530 | NPI | - | NPPES |
| 36084031 | Other | IL | BCBS |
| 080190838 | Other | IL | RAILROAD MEDICARE |
| 023284 | Other | IL | HEALTH ALLIANCE |
| 472301 | Other | IL | HEALTHLINK |
| 7215059 | Other | IL | BCBS PPO |
| IL01N1 | Other | IL | JOHN DEERE |
| 036084031 | Medicaid | IL | |
| 0360840311 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036084031 (Illinois) | Primary |
| Entity Name | Chestnut Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Rogers, MD 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 Ph: (888) 924-3786 | Jared Rogers, MD 702 W Chestnut St, Bloomington, IL 61701-2814 Ph: (309) 557-1400 |
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 |
Matthew Christian Caviness, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-300-1031 |
Thomas L Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-661-6414 Fax: 309-661-4666 |
Jermy Enrique Crespo Gonzalez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington Street, Bloomington, IL 61701 Phone: 309-665-5996 |
Kerri Lyn Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 |
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 |
Sharon Anna Varughese, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-665-5996 |