| Jerome D Anderson, DO | |
|
525 E Grant St, Macomb, IL 61455-3313 | |
| (309) 837-2368 | |
| (319) 233-0722 |
| Full Name | Jerome D Anderson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 39 Years |
| Location | 525 E Grant St, Macomb, 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 |
|---|---|---|---|
| 1619955986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 03039 (Iowa) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 36075427 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Illinois Pathology, Sc | 9133160450 | 11 |
| Entity Name | Schuyler County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969112 PECOS PAC ID: 9638076474 Enrollment ID: O20031218000430 |
| Entity Name | Central Illinois Pathology, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114970761 PECOS PAC ID: 9133160450 Enrollment ID: O20050517000934 |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1396055869 PECOS PAC ID: 0446140180 Enrollment ID: O20101111000648 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome D Anderson, DO Po Box 2660, Waterloo, IA 50704-2660 Ph: (319) 233-3044 | Jerome D Anderson, DO 525 E Grant St, Macomb, IL 61455-3313 Ph: (309) 837-2368 |
Bruce F Arnold, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-837-5368 Fax: 319-233-0722 | |
Richard C Watson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-837-5368 Fax: 319-233-0722 |