| Jacob Matthew Vondebur, PA-C | |
|
2303 Huntington Rd, Springfield, IL 62703-5009 | |
| (217) 303-4991 | |
| Not Available |
| Full Name | Jacob Matthew Vondebur |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2303 Huntington Rd, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235023045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085011450 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Rockford Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639876634 PECOS PAC ID: 4385007640 Enrollment ID: O20230905000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Matthew Vondebur, PA-C 2303 Huntington Rd, Springfield, IL 62703-5009 Ph: (217) 303-4991 | Jacob Matthew Vondebur, PA-C 2303 Huntington Rd, Springfield, IL 62703-5009 Ph: (217) 303-4991 |
Jerry Priddy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 E Mason St Ste 5, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-2552 |
Sydney Lynch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 Greenbriar Dr, Springfield, IL 62704 Phone: 217-528-7541 |
Julie C Hart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Carol M. Harper, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Mr. Eric D Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2151 W White Oaks Dr, Springfield, IL 62704 Phone: 217-717-4404 |
Zachary Sims, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-757-8100 Fax: 217-757-8161 |
Brandon N. Landsverk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 |