| Jesse Coleman, DO | |
|
555 W Court St Ste 214, Kankakee, IL 60901-3674 | |
| (815) 928-6131 | |
| Not Available |
| Full Name | Jesse Coleman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 8 Years |
| Location | 555 W Court St Ste 214, Kankakee, 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 |
|---|---|---|---|
| 1720570971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036165169 (Illinois) | Primary |
| 208600000X | Surgery | R-11252 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center | Rockford, IL | Hospital |
| Osf Saint Elizabeth Medical Center | Peru, IL | Hospital |
| Osf Saint Katharine Medical Center | Dixon, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Rochelle Community Hospital | Rochelle, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 2123 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Prime Healthcare Illinois Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023837689 PECOS PAC ID: 5597275685 Enrollment ID: O20250609000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Coleman, DO 555 W Court St Ste 214, Kankakee, IL 60901-3674 Ph: (815) 928-6131 | Jesse Coleman, DO 555 W Court St Ste 214, Kankakee, IL 60901-3674 Ph: (815) 928-6131 |
Dr. Dong Ouk Kim, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 N Wall St, Suite 410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-7363 |
Robert Brockman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 375 N Wall St, Suite P640, Kankakee, IL 60901 Phone: 815-932-0911 |
Dr. Kay Chow Timbers, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-3975 |
Dr. Soren David Lang, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N. Wall St, Suite 410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-7363 |
Dr. Vinay V Bajaj, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-3975 |
Dr. Jeffrey Lincoln Brown, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St Ste P420, Kankakee, IL 60901 Phone: 815-932-0911 Fax: 815-932-0631 |
Gretchen Kathleen Williams, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-3975 |