| Sterling Shafer, MD | |
|
1600 W Walnut St, Jacksonville, IL 62650-1136 | |
| (217) 245-9541 | |
| (217) 479-8781 |
| Full Name | Sterling Shafer |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1600 W Walnut St, Jacksonville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316065873 | NPI | - | NPPES |
| P00041714 | Other | IL | MEDICARE RR |
| 077530 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
| Entity Name | Passavant Memorial Area Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760994040 PECOS PAC ID: 3173503281 Enrollment ID: O20180508002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Sterling Shafer, MD 1600 W Walnut St, Jacksonville, IL 62650-1136 Ph: (217) 245-9541 | Sterling Shafer, MD 1600 W Walnut St, Jacksonville, IL 62650-1136 Ph: (217) 245-9541 |
Dr. Tara Jean Ramsey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 W Lafayette Ave, Suite D, Jacksonville, IL 62650 Phone: 217-479-0290 Fax: 217-479-0292 | |
Michael E Whitmore, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 Fax: 217-479-8781 | |
Luke Norris, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 | |
Dennis Backstrom, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 Fax: 217-479-8781 | |
Lawrence B Plummer, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 Fax: 217-479-8781 | |
Cynthia Simpson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 Fax: 217-479-8781 |