| Mr Brent Ray Huffines, PA-C | |
|
350 N Wall St, Kankakee, IL 60901-2901 | |
| (815) 935-7500 | |
| Not Available |
| Full Name | Mr Brent Ray Huffines |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 350 N Wall St, Kankakee, 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 |
|---|---|---|---|
| 1306093356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085003288 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Observation Medical Group Llc | 3779872627 | 51 |
| Entity Name | Adventist Health System Sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | Emergency Medical Associates of Tampa Bay LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
| Entity Name | Observation Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brent Ray Huffines, PA-C 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: (734) 995-3764 | Mr Brent Ray Huffines, PA-C 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 935-7500 |
Shonna Cotton Beckman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 455 W Court St, Suite 102, Kankakee, IL 60901 Phone: 815-937-8744 Fax: 815-937-3528 |
Agata Gebala, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 |
Mr. Andrew J Donofrio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243 |
Mrs. Stephanie E Grosso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2400 Fax: 815-937-8778 |
Mrs. Olga Banys, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7500 |
Sherri B Morrison, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 |
Regan Lane Kendregan, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 400 N Wall St, Ste 510, Kankakee, IL 60901 Phone: 815-932-5725 Fax: 915-932-5872 |