| Jeffrey Ripperda, MD | |
|
7 South Hospital Drive, Murphysboro, IL 62966-3333 | |
| (618) 687-3418 | |
| (618) 687-1859 |
| Full Name | Jeffrey Ripperda |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 7 South Hospital Drive, Murphysboro, 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 |
|---|---|---|---|
| 1306869557 | NPI | - | NPPES |
| 036116271 | Medicaid | IL | |
| CF3444 | Other | IL | MEDICARE RAILROAD GROUP |
| P00625296 | Other | IL | MEDICARE RR GROUP PTAN |
| 370966854002 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-116271 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Health Service And Development Corp | 1658285671 | 50 |
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Ripperda, MD 109 California, P O Box 577, Carterveill, IL 62918-0577 Ph: (618) 985-8221 | Jeffrey Ripperda, MD 7 South Hospital Drive, Murphysboro, IL 62966-3333 Ph: (618) 687-3418 |
Emily D Hanson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 E Shawnee Dr Ste 2, Murphysboro, IL 62966 Phone: 618-684-2172 Fax: 618-687-4480 | |
Dr. Kowsika Movva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-519-9200 Fax: 618-684-2748 | |
Mr. Evan Tep Belfer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 N 14th St, Murphysboro, IL 62966 Phone: 618-687-2319 Fax: 618-684-3321 | |
Todd Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7 South Hospital Drive, Murphysboro, IL 62966 Phone: 618-687-3418 Fax: 618-687-1859 | |
Dale W Blaise, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 19 E Shawnee Dr Ste 2, Murphysboro, IL 62966 Phone: 618-684-2172 Fax: 618-687-4480 | |
Clare T Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-687-3418 Fax: 618-687-1859 |