Joseph W Spraul, MD - Medicare Ophthalmology in Effingham, IL

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Joseph W Spraul, MD is a medicare enrolled "Ophthalmology" physician in Effingham, Illinois. He went to Washington University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Effingham Ophthalmology Associates, Ltd. and his current practice location is 903 Medical Park Dr, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 347-2933.

Joseph W Spraul is licensed to practice in Illinois (license number 036092488) 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 1134172141.

Contact Information

Joseph W Spraul, MD
903 Medical Park Dr,
Effingham, IL 62401-2190
(217) 347-2933
(217) 347-2932

Map and Direction




Physician's Profile

Full NameJoseph W Spraul
GenderMale
SpecialityOphthalmology
Experience32 Years
Location903 Medical Park Dr, Effingham, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joseph W Spraul attended and graduated from Washington University School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1134172141
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 05/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9335160522
  • Enrollment ID: I20100604001074

Medical Identifiers

Medical identifiers for Joseph W Spraul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134172141NPI-NPPES
2500068OtherBLUE CROSS
180025650OtherRAILROAD MEDICARE
036092488MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 036092488 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crawford Memorial HospitalRobinson, ILHospital
Clay County HospitalFlora, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Effingham Ophthalmology Associates, Ltd.91331403203

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. Joseph W Spraul allows following entities to bill medicare on his behalf.
Entity NameEffingham Ophthalmology Associates, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718454
PECOS PAC ID: 9133140320
Enrollment ID: O20051215000440

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. Joseph W Spraul 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
Joseph W Spraul, MD
903 Medical Park Dr,
Effingham, IL 62401-2190

Ph: (217) 347-2933		Joseph W Spraul, MD
903 Medical Park Dr,
Effingham, IL 62401-2190

Ph: (217) 347-2933

Reviews and Comments


Ophthalmology Doctors in Effingham, IL

Dr. Yee-sheng Chiu, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 900 W Temple Ave, Suite 104, Effingham, IL 62401
Phone: 217-347-5525    Fax: 217-342-6099
John D Kay, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 903 Medical Park Dr, Effingham, IL 62401
Phone: 217-347-2933    Fax: 217-347-2932
Fatima Ahmad, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Keller Dr, Suite A, Effingham, IL 62401
Phone: 217-342-2900    Fax: 217-342-2901

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.