| Michael De Venecia, PA-C | |
|
841 Broadmeadow Rd, Rantoul, IL 61866-2166 | |
| (217) 282-3010 | |
| Not Available |
| Full Name | Michael De Venecia |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 841 Broadmeadow Rd, Rantoul, 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 |
|---|---|---|---|
| 1457046351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 085009622 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Osf Heart Of Mary Medical Center | Urbana, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael De Venecia, PA-C 508 Yalow Dr, Champaign, IL 61822-1140 Ph: (618) 843-1021 | Michael De Venecia, PA-C 841 Broadmeadow Rd, Rantoul, IL 61866-2166 Ph: (217) 282-3010 |
Erica Nicole Sutton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1540 E. Grove Street, Rantoul, IL 61866 Phone: 217-893-7700 Fax: 217-893-7801 | |
Naser Jahanbiglar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1540 E. Grove Street, Rantoul, IL 61866 Phone: 217-893-7700 Fax: 217-893-7801 |