| Travis Swink, | |
|
105 S John St, Dwight, IL 60420-1413 | |
| (815) 584-3343 | |
| (815) 584-3647 |
| Full Name | Travis Swink |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 105 S John St, Dwight, 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 |
|---|---|---|---|
| 1619060977 | NPI | - | NPPES |
| 036104289 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-104289 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| In-home Care Connection Home Health Services | Moline, IL | Home health agency |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Healthcare System | 4284541806 | 77 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Swink, 1916 N Main St, Princeton, IL 61356-9786 Ph: (815) 664-0605 | Travis Swink, 105 S John St, Dwight, IL 60420-1413 Ph: (815) 584-3343 |
Dennis Edward Strobel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 134 W Main St, Dwight, IL 60420 Phone: 815-584-3347 | |
Suresh Vade, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 134 W Main St, Dwight, IL 60420 Phone: 815-584-3347 | |
Dr. Mark A Passerman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Prairie Ave, Dwight, IL 60420 Phone: 815-584-3291 Fax: 815-584-3475 | |
Maulin G Shah, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Watters Dr, Dwight, IL 60420 Phone: 815-584-4334 Fax: 815-584-4364 | |
Dr. Michael Charles Cichon, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 305 Susan Dr, Dwight, IL 60420 Phone: 815-584-3588 |