| Oscar Lin, MD | |
|
400 Maple Summit Rd, Jerseyville, IL 62052-2028 | |
| (618) 498-6402 | |
| Not Available |
| Full Name | Oscar Lin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 400 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 |
|---|---|---|---|
| 1841251816 | NPI | - | NPPES |
| 376013958 | Other | IL | GOVERNMENT |
| 036110812-1 | Medicaid | IL | |
| 036110812-2 | Medicaid | IL | |
| IL4399002 | Other | IL | MEDICARE |
| P00128016 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2002007101 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036-110812 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Thomas H Boyd Memorial Hospital | Carrollton, IL | Hospital |
| Osf Saint Anthony's Health Center | Alton, IL | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jersey Community Hospital | 4587650445 | 64 |
| 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 |
| Entity Name | Advanced Imaging Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114235603 PECOS PAC ID: 9830388578 Enrollment ID: O20110111000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar Lin, MD 42 Garden Ctr, Broomfield, CO 80020-1730 Ph: (303) 465-0401 | Oscar Lin, MD 400 Maple Summit Rd, Jerseyville, IL 62052-2028 Ph: (618) 498-6402 |
Larry D Reed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-6402 |