| Leoncio S Dizon, MD | |
|
390 Maple Summit Rd, Jerseyville, IL 62052 | |
| (618) 498-7518 | |
| (618) 498-3052 |
| Full Name | Leoncio S Dizon |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 390 Maple Summit Rd, Jerseyville, 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 |
|---|---|---|---|
| 1114982352 | NPI | - | NPPES |
| 110114535 | Other | IL | MEDICARE RAILROAD |
| 036091652 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036091652 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036091652 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Jerseyville Manor | Jerseyville, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jersey Community Hospital | 4587650445 | 57 |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Leoncio S Dizon, MD 390 Maple Summit Rd, Jerseyville, IL 62052-2000 Ph: (618) 498-7518 | Leoncio S Dizon, MD 390 Maple Summit Rd, Jerseyville, IL 62052 Ph: (618) 498-7518 |
Lester A Crancer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Dr. Srirama S Kurella, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-7518 Fax: 618-498-3052 | |
Donald E Murray, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-7108 Fax: 618-498-7919 |