| Jeffrey Prochot, DO | |
|
1775 Ballard Rd, Park Ridge, IL 60068-1005 | |
| (847) 318-9340 | |
| Not Available |
| Full Name | Jeffrey Prochot |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 8 Years |
| Location | 1775 Ballard Rd, Park Ridge, 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 |
|---|---|---|---|
| 1558892646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125071404 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 299 |
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Prochot, DO 1775 Ballard Rd, Park Ridge, IL 60068-1005 Ph: (847) 318-9340 | Jeffrey Prochot, DO 1775 Ballard Rd, Park Ridge, IL 60068-1005 Ph: (847) 318-9340 |
Dr. Jason Nathaniel Macklis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 2200, Park Ridge, IL 60068 Phone: 847-268-8577 | |
Mohammed Omer Ahmed Abdalla, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Busse Hwy, Park Ridge, IL 60068 Phone: 847-759-4770 | |
Nayana P Dave, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St Ste E592b, Park Ridge, IL 60068 Phone: 847-723-8080 | |
Hyo-jin Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Dr. Anand Ramadorai, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068 Phone: 847-294-5160 | |
Dr. Lisa Elaine Laurenzana, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 | |
Dr. Patrick J Murphy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 W Devon, Park Ridge, IL 60068 Phone: 847-696-3176 Fax: 847-696-2678 |