| John D Hartman, MD | |
|
201 Bailey Lane, Benton, IL 62812-0000 | |
| (618) 439-3161 | |
| (618) 439-4049 |
| Full Name | John D Hartman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 201 Bailey Lane, Benton, 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 |
|---|---|---|---|
| 1851399976 | NPI | - | NPPES |
| 036111331 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2004014269 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 036111331 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 2004014269 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franklin Hospital | Benton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Hospital Services | 2961310966 | 18 |
| Franklin Hospital District | 4082516042 | 30 |
| Entity Name | Southern Illinois Hospital Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528158573 PECOS PAC ID: 2961310966 Enrollment ID: O20031211000718 |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Entity Name | Franklin Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
| Entity Name | Board Of Trustees Of Southern Illinois University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Hartman, MD 201 Bailey Lane, Benton, IL 62812-0000 Ph: (618) 439-3161 | John D Hartman, MD 201 Bailey Lane, Benton, IL 62812-0000 Ph: (618) 439-3161 |
Ralph I Latta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 N Duquoin, Benton, IL 62812 Phone: 618-435-5362 Fax: 618-438-2613 | |
Brian Harrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Bailey Ln Ste 1, Benton, IL 62812 Phone: 618-438-5670 Fax: 618-438-5709 | |
Dr. Richard Rethorst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969 | |
Anthony Miksanek, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622 |