| Mr Jayson A Coble, PA-C | |
|
800 E Carpenter St, Springfield, IL 62702-5324 | |
| (217) 544-6464 | |
| Not Available |
| Full Name | Mr Jayson A Coble |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 800 E Carpenter St, Springfield, 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 |
|---|---|---|---|
| 1124014865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085002176 (Illinois) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 085002176 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Hospital | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Physician Services | 9032005681 | 161 |
| Entity Name | Memorial Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174877930 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | Vituity - Illinois Auc LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306334198 PECOS PAC ID: 0547516932 Enrollment ID: O20180627000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jayson A Coble, PA-C 3132 Old Jacksonville Rd Ste 110, Springfield, IL 62704-7401 Ph: (217) 588-2600 | Mr Jayson A Coble, PA-C 800 E Carpenter St, Springfield, IL 62702-5324 Ph: (217) 544-6464 |
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 |