| Robert J Dizes Jr, PA-C | |
|
1414 Cross St Ste 230, Shiloh, IL 62269-2988 | |
| (618) 607-1260 | |
| Not Available |
| Full Name | Robert J Dizes Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 1414 Cross St Ste 230, Shiloh, 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 |
|---|---|---|---|
| 1871686790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085001206 (Illinois) | Primary |
| 363AM0700X | Physician Assistant - Medical | 085001206 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bjc Home Care Services | Saint louis, MO | Home health agency |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 448 |
| Entity Name | Fairview Heights Medical Group SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Dizes Jr, PA-C 1414 Cross St Ste 230, Shiloh, IL 62269-2988 Ph: (618) 607-1260 | Robert J Dizes Jr, PA-C 1414 Cross St Ste 230, Shiloh, IL 62269-2988 Ph: (618) 607-1260 |
Jennifer Jeanne Jouett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1191 Fortune Blvd, Shiloh, IL 62269 Phone: 618-622-7546 Fax: 618-627-0098 |
Mr. Corey Austin Brooks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 |
Alexander Charles Greff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Tamarack Ln, Shiloh, IL 62269 Phone: 618-624-2060 Fax: 618-624-2226 |
Ms. Staci J Ladowitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Ste 160, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-433-6492 |
Linsey Krafve, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1404 Cross St, Shiloh, IL 62269 Phone: 618-607-3700 Fax: 618-624-4841 |
Dr. Kilauren Carol Mcmahon, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1418 Cross St, Div Im Medical Oncology, Ste 180, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-622-9724 |