| Jase Camp, | |
|
701 N 1st St Ste D220, Springfield, IL 62702-3757 | |
| (217) 545-3518 | |
| (217) 545-2711 |
| Full Name | Jase Camp |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 701 N 1st St Ste D220, 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 |
|---|---|---|---|
| 1932691292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125.072253 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036.155713 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abraham Lincoln Memorial Hospital | Lincoln, IL | Hospital |
| Memorial Medical Center | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Emergency Department Specialists Ltd | 5193627727 | 56 |
| Abraham Lincoln Memorial Hospital | 9436040573 | 3 |
| Entity Name | Midwest Emergency Department Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
| Entity Name | Abraham Lincoln Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558586180 PECOS PAC ID: 9436040573 Enrollment ID: O20101123001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Jase Camp, Po Box 19679, Springfield, IL 62794-9679 Ph: (217) 545-3518 | Jase Camp, 701 N 1st St Ste D220, Springfield, IL 62702-3757 Ph: (217) 545-3518 |
Christopher Inabnit, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Anjali Devendra Bhagat, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 19679, Springfield, IL 62794 Phone: 217-545-3518 | |
Megan Nicole Tomlin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St Ste D220, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Sumesh Jain, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-757-7465 Fax: 217-788-5591 | |
Kelly Galanos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Shreya Lankala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 | |
Dr. Alexis Catherine Gazda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 |