| Jason R Michaels, MD | |
|
701 N 1st St, Springfield, IL 62702-3757 | |
| (217) 545-0182 | |
| (217) 545-4735 |
| Full Name | Jason R Michaels |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 11 Years |
| Location | 701 N 1st St, 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 |
|---|---|---|---|
| 1679988521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036-145873 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 036145873 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Eureka Hospital | Eureka, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle West Physician Group Inc | 8921420308 | 275 |
| Entity Name | Carle Eureka Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20200609000028 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason R Michaels, MD 611 W. Park St, Fapc, Urbana, IL 61801 Ph: () - | Jason R Michaels, MD 701 N 1st St, Springfield, IL 62702-3757 Ph: (217) 545-0182 |
Dr. Thomas Neil Rooke, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Dr. Fernando Melkun, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 Fax: 177-576-5372 | |
Renato Enriquez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-5495 | |
Dr. Robert Kojima, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-2521 | |
Dr. Allison Nicole Yu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Dr. Dylan Robert Afeld, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
Dr. Peter Martin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-5495 |