| Mr Jesse Paul Butler, MD | |
|
1120 N Melvin St, Gibson City, IL 60936-1477 | |
| (217) 784-4340 | |
| (217) 784-2360 |
| Full Name | Mr Jesse Paul Butler |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 1120 N Melvin St, Gibson City, 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 |
|---|---|---|---|
| 1205888385 | NPI | - | NPPES |
| IL3794001 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 036-094206 (Illinois) | Secondary |
| 207X00000X | Orthopaedic Surgery | 036-094206 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gibson Community Hospital Association | 5092703124 | 109 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jesse Paul Butler, MD 2514 Village Green Pl, Champaign, IL 61822-7675 Ph: (773) 321-2800 | Mr Jesse Paul Butler, MD 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4340 |
Dr. Jeffrey A Lowe, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-2340 | |
Christopher Dangles, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4340 Fax: 217-784-2360 | |
Kacy Marie Standiford, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4340 |