| Jeffrey Michael Schenck, DO | |
|
5 Ludwig Dr, Fairview Heights, IL 62208-1332 | |
| (618) 397-9000 | |
| (618) 397-9003 |
| Full Name | Jeffrey Michael Schenck |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 5 Ludwig Dr, Fairview Heights, 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 |
|---|---|---|---|
| 1447713409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036157832 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs Home Care Illinois | Effingham, IL | Home health agency |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| St Joseph's Hospital | Highland, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 193 |
| Vituity - Illinois Auc Llp | 0547516932 | 35 |
| Hshs Medical Group Inc | 5092857821 | 212 |
| Entity Name | HSHS Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Entity Name | Cep America-illinois Hospitalists, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
| Entity Name | Vituity - Illinois Auc LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306334198 PECOS PAC ID: 0547516932 Enrollment ID: O20180627000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Michael Schenck, DO 5 Ludwig Dr, Fairview Heights, IL 62208-1332 Ph: (618) 397-9000 | Jeffrey Michael Schenck, DO 5 Ludwig Dr, Fairview Heights, IL 62208-1332 Ph: (618) 397-9000 |