| Jeffrey D Arendell, DO | |
|
2100 Madison Ave, Granite City, IL 62040-4701 | |
| (618) 798-6300 | |
| (618) 798-3716 |
| Full Name | Jeffrey D Arendell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386668218 | NPI | - | NPPES |
| 3932056 | Other | IL | BLUE SHIELD |
| 036086735-3 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036086735 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahs Il Medical Group Llc | 5496111676 | 51 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Entity Name | Ahs Il Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Arendell, DO 6713 Stoneridge Est, Columbia, IL 62236-2905 Ph: (618) 476-1967 | Jeffrey D Arendell, DO 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (618) 798-6300 |
Dr. Kelly M Farroll, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 | |
David Bogolub, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 Fax: 618-798-3885 | |
Debabrata Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 Fax: 618-798-3885 |