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

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Jon O Humphrey, MD is a medicare enrolled "Family Medicine" physician in Carbondale, Illinois. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameJon O Humphrey
GenderMale
SpecialityFamily Medicine
Location305 W Jackson St, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1699972893NPI-NPPES
036116062MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 036-116062 (Illinois)Secondary
207Q00000XFamily Medicine 67471 (Tennessee)Primary

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 NameAmg-livingston Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.