| Jonathon W White, DO | |
|
305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 | |
| (618) 536-6621 | |
| Not Available |
| Full Name | Jonathon W White |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 305 W Jackson St, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125060525 (Illinois) | Primary |
| Entity Name | Marshall Browning Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821099441 PECOS PAC ID: 9335049980 Enrollment ID: O20040226000868 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Granite City Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon W White, DO 301 S Orange St, Jonesboro, IL 62952-1104 Ph: (618) 833-1691 | Jonathon W White, DO 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 Ph: (618) 536-6621 |
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 |