Mr Paul Brian Juergens, MD is a
Pain Medicine - Pain Medicine physician based in Du Quoin, Illinois. Mr Paul Brian Juergens is licensed to practice in Illinois (license number 036067084) and his current practice location is 900 N Washington St, Du Quoin, Illinois. He can be reached at his office (for appointments etc.) via phone at
(573) 575-6440.
NPI number for Mr Paul Brian Juergens is 1922026673 and his current mailing address is Po Box 3441, Carbondale, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922026673.
Physician's Profile
| Full Name | Mr Paul Brian Juergens |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 900 N Washington St, Du Quoin, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922026673
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 01/19/2016
Medical Identifiers
Medical identifiers for Mr Paul Brian Juergens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922026673 | NPI | - | NPPES |
| 0010022254 | Other | IL | BLUE CROSS BLUE SHIELD |
| CH1495 | Other | IL | RAILROAD MEDICARE |
| 036067084 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 036067084 (Illinois) | Primary |
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. Mr Paul Brian Juergens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Paul Brian Juergens, MD
Po Box 3441,
Carbondale, IL 62902-3441
Ph: (573) 575-6440 | Mr Paul Brian Juergens, MD
900 N Washington St,
Du Quoin, IL 62832-1233
Ph: (573) 575-6440 |
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