| John C Rollet, MD | |
|
125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 | |
| (217) 483-3333 | |
| (217) 483-4393 |
| Full Name | John C Rollet |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 125 E Plummer Blvd Ste A, Chatham, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932119112 | NPI | - | NPPES |
| P00149037 | Other | IL | RR MEDICARE PIN |
| 036064761 | Other | IL | IL STATE LICENSE |
| 14D0435365 | Other | IL | CLIA |
| 133586700 | Other | IL | ACS-OWCP |
| 08421024 | Other | IL | BC/BS |
| 222697 | Other | IL | PERSONAL CARE |
| 036064761 | Medicaid | IL | |
| 100940 | Other | IL | HEALTHLINK |
| 6394P | Other | IL | CATERPILLAR |
| CD7143 | Other | IL | RR MEDICARE GROUP |
| 008540 | Other | IL | HEALTH ALLIANCE |
| 020057300 | Other | IL | BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036064761 (Illinois) | Primary |
| Entity Name | Midwest Emergency Department Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
| Mailing Address | Practice Location Address |
|---|---|
| John C Rollet, MD 125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 Ph: (217) 483-3333 | John C Rollet, MD 125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 Ph: (217) 483-3333 |
Gustavo Mosquera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8151 | |
Miss Sahar Yazdani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 E Plummer Blvd Ste A, Chatham, IL 62629 Phone: 217-483-3333 Fax: 217-483-4393 | |
Dr. Kenneth Wayne Schmidt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 E Plummer Blvd Ste A, Chatham, IL 62629 Phone: 217-483-3333 Fax: 217-483-4393 | |
Catherine Crabtree, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St, Chatham, IL 62629 Phone: 217-483-3333 Fax: 217-483-4393 | |
Joanne Mayberry, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 E Plummer Blvd, Chatham, IL 62629 Phone: 172-483-3333 | |
Dr. Gerald D Suchomski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-3487 Fax: 217-483-8150 | |
James T Crabtree, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 E Plummer Blvd Ste A, Chatham, IL 62629 Phone: 217-483-3333 Fax: 217-483-4393 |