| Mr Donald Paul Prentiss Jr, MD | |
|
1221 N Highland Ave, Aurora, IL 60506-1404 | |
| (630) 859-8700 | |
| Not Available |
| Full Name | Mr Donald Paul Prentiss Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 1221 N Highland Ave, Aurora, 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 |
|---|---|---|---|
| 1275617839 | NPI | - | NPPES |
| 036096029 | Medicaid | IL | |
| K8818 | Other | TX | LICENSE NUMBER |
| 01074235A | Other | IN | LICENSE NUMBER |
| 04515143 | Other | IL | BCBS# |
| 7258113 | Other | TX | AETNA PROVIDER NUMBER |
| 0072GK | Other | TX | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01074235A (Indiana) | Secondary |
| 208600000X | Surgery | K8818 (Texas) | Secondary |
| 208600000X | Surgery | 036-096029 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 123 |
| Acute Care Surgery Medical Group Inc | 7214006816 | 201 |
| Porter Physician Services Llc | 1850482407 | 97 |
| Entity Name | Freeport Regional Health Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald Paul Prentiss Jr, MD 1870 W Galena Blvd, Aurora, IL 60506-4356 Ph: (630) 859-6700 | Mr Donald Paul Prentiss Jr, MD 1221 N Highland Ave, Aurora, IL 60506-1404 Ph: (630) 859-8700 |
Nancy E Whereatt, MD Surgery Medicare: Medicare Enrolled Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
Dr. Daniel Katz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2040 Ogden Ave Ste 304, Aurora, IL 60504 Phone: 630-898-3727 | |
Craig L Weinstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2040 Ogden Ave, Ste. 115, Aurora, IL 60504 Phone: 630-585-0200 Fax: 630-585-7396 | |
Paul Dayata Catedral, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1256 Waterford Dr Ste 130, Aurora, IL 60504 Phone: 630-820-2727 | |
Tedi Vlahu, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 N Highland Ave, Aurora, IL 60506 Phone: 630-801-5700 | |
Dr. Gregory A Spitz, M.D., F.A.C.S Surgery Medicare: Medicare Enrolled Practice Location: 1256 Waterford Dr, Suite 130, Aurora, IL 60504 Phone: 630-820-2727 Fax: 630-820-7427 |