Jon O Humphrey, MD in Carbondale, IL - Medicare Family Practice

Jon O Humphrey, MD is a medicare enrolled "Family Medicine" physician in Carbondale, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Amg-livingston Llc and his current practice location is 305 W Jackson St, Suite 200, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 453-3777.

Jon O Humphrey is licensed to practice in Tennessee (license number 67471) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699972893.

Contact Information

	Jon O Humphrey, MD
	305 W Jackson St, Suite 200, Carbondale, IL 62901-1474
	(618) 453-3777
	(618) 453-1102

Map and Direction

Physician's Profile

Full Name	Jon O Humphrey
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	305 W Jackson St, Carbondale, 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.

Medical Education and Training:

Jon O Humphrey attended and graduated from Southern Illinois University School Of Medicine in 1997

NPI Data:

NPI Number: 1699972893
Provider Enumeration Date: 06/29/2007
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6002838448
Enrollment ID: I20231013001065

Medical Identifiers

Medical identifiers for Jon O Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699972893	NPI	-	NPPES
036116062	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	036-116062 (Illinois)	Secondary
207Q00000X	Family Medicine	67471 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Livingston, TN	Home health agency
Livingston Regional Hospital	Livingston, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amg-livingston Llc	1052225760	17

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jon O Humphrey allows following entities to bill medicare on his behalf.

Entity Name	Amg-livingston Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699869297 PECOS PAC ID: 1052225760 Enrollment ID: O20031120000923

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon O Humphrey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jon O Humphrey, MD 701 N 1st St, Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-7578	Jon O Humphrey, MD 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 Ph: (618) 453-3777

Reviews and Comments

Family Medicine Doctors in Carbondale, IL

Ashmeet Singh Sahni, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621
Sandhya Rani Grandhi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-457-4542
Brian Jay Reach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 217-545-8000
Scott K Schonewolf, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 200, Carbondale, IL 62901 Phone: 618-453-3777 Fax: 618-453-1102
Artemus Holguin-mills, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621
Precious Charisse Gahol, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-0221
Wendy Thein Myint, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621

Jon O Humphrey, MD - Medicare Family Practice in Carbondale, IL