| Prachi Jain, MD | |
|
701 N 1st St, Springfield, IL 62781-1046 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Prachi Jain |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 15 Years |
| Location | 701 N 1st St, Springfield, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326333626 | NPI | - | NPPES |
| 270369 | Other | NY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 153621 (California) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 036162447 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Hospital | Springfield, IL | Hospital |
| Memorial Medical Center | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F | 9032028923 | 26 |
| Entity Name | St Johns Hospital of the Hospital Sisters of the Third Order of St F |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184606923 PECOS PAC ID: 9032028923 Enrollment ID: O20031118000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Prachi Jain, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Prachi Jain, MD 701 N 1st St, Springfield, IL 62781-1046 Ph: (217) 528-7541 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 |
Sandra Scroggins, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 |
Dr. Rebecca Nichole Mahon, PHD. DABR Radiology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |
Danielle Hawthorne, Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St Box 43, Springfield, IL 62769 Phone: 217-814-5187 Fax: 217-757-6458 |