| Jackson Ross Smith, PA-C | |
|
2620 Arbor Dr, Mchenry, IL 60050-2694 | |
| (815) 385-9877 | |
| Not Available |
| Full Name | Jackson Ross Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 2620 Arbor Dr, Mchenry, 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 |
|---|---|---|---|
| 1598659963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1236209 (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dupage Emergency Physicians Convenient Care Llc | 6608840046 | 30 |
| Entity Name | Dupage Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255323481 PECOS PAC ID: 6507854288 Enrollment ID: O20040503000606 |
| Entity Name | Dupage Emergency Physicians Convenient Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922000363 PECOS PAC ID: 6608840046 Enrollment ID: O20040823000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Ross Smith, PA-C 2620 Arbor Dr, Mchenry, IL 60050-2694 Ph: (815) 387-9877 | Jackson Ross Smith, PA-C 2620 Arbor Dr, Mchenry, IL 60050-2694 Ph: (815) 385-9877 |
Nilam M Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-344-5000 |
Holly Rusch, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4309 W Medical Center Dr Ste B310, Mchenry, IL 60050 Phone: 815-759-4368 Fax: 815-759-4439 |
Nicholas Counterman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B201, Mchenry, IL 60050 Phone: 847-535-7271 Fax: 847-802-7399 |
Jamie Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9094 |
Ms. Margaret Sorrells, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4309 W Medical Center Dr Ste B300, Mchenry, IL 60050 Phone: 815-759-4224 Fax: 815-363-0136 |
Justin Duffy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 Phone: 815-759-8070 Fax: 815-759-4931 |
Mr. Edward Timothy Leblanc, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 Phone: 815-759-8070 Fax: 815-759-4931 |