| Shabaz Gill, MD | |
|
1836 S Macarthur Blvd, Springfield, IL 62704-4030 | |
| (217) 789-1403 | |
| (217) 789-1825 |
| Full Name | Shabaz Gill |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1836 S Macarthur Blvd, Springfield, 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 |
|---|---|---|---|
| 1598911281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R0005 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 036131927 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| St Luke's Sugar Land Hospital | Sugar land, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Emergency Physicians Pllc | 4880048560 | 77 |
| Integrative Emergency Services Physician Group-houston Pllc | 7113258500 | 193 |
| Jasper Emergency Physicians Pllc | 9133573983 | 55 |
| Entity Name | Port Arthur Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255491627 PECOS PAC ID: 6901905736 Enrollment ID: O20070620000245 |
| Entity Name | Lone Star Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457709040 PECOS PAC ID: 7113054446 Enrollment ID: O20100419000563 |
| Entity Name | Oleander Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1346515103 PECOS PAC ID: 1759544232 Enrollment ID: O20120521000151 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220124000512 |
| Entity Name | Excellence Emergency Hospital Physician Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972223675 PECOS PAC ID: 4284001280 Enrollment ID: O20221103003033 |
| Entity Name | Emergency Medicine Services Of Tx, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Entity Name | Jasper Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922781970 PECOS PAC ID: 9133573983 Enrollment ID: O20230927001797 |
| Entity Name | Jefferson Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609559699 PECOS PAC ID: 4880048560 Enrollment ID: O20230928003491 |
| Entity Name | Elite Hospital Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609625995 PECOS PAC ID: 2062941057 Enrollment ID: O20250121000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Shabaz Gill, MD 1836 S Macarthur Blvd, Springfield, IL 62704-4030 Ph: (217) 789-1403 | Shabaz Gill, MD 1836 S Macarthur Blvd, Springfield, IL 62704-4030 Ph: (217) 789-1403 |
Dr. Kaitlin Delaney Henry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Kathryn D Viotto, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3132 Old Jacksonville Rd Ste 110, Springfield, IL 62704 Phone: 217-588-2600 Fax: 217-862-0904 | |
Mark T. Mckay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 | |
Mrs. Lacey Dively Moy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 Fax: 217-588-7439 | |
Dr. Hari Iyengar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 | |
Dr. Jamie Wallman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701 Phone: 217-545-8000 | |
Janet R Albers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-8161 |