| James L Schutzenhofer MD LLC | |
|
1050 Martin Luther King Drive Centralia IL 62801 | |
| (618) 545-1705 | |
| (618) 545-1703 |
| Full Name | James L Schutzenhofer MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1050 Martin Luther King Drive, Centralia, Illinois |
| Authorized Official Name and Position | James Louis Schutzenhofer (MD) |
| Authorized Official Contact | 6185451705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James L Schutzenhofer MD LLC 1050 Martin Luther King Drive Centralia IL 62801 Ph: (618) 545-1705 | James L Schutzenhofer MD LLC 1050 Martin Luther King Drive Centralia IL 62801 Ph: (618) 545-1705 |
| NPI Number | 1861423659 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/15/2007 |
| Medicare PECOS PAC ID | 9830143957 |
|---|---|
| Medicare Enrollment ID | O20050310000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861423659 | NPI | - | NPPES |
| 06132002 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | James L Schutzenhofer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851392229 PECOS PAC ID: 5193779221 Enrollment ID: I20050428000106 |
| Provider Name | Karla Anne Schutzenhofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902172372 PECOS PAC ID: 0840453940 Enrollment ID: I20120530000551 |
Tom Martin MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Ml King Dr, Suite 104, Centralia, IL 62801 Phone: 618-532-6330 Fax: 618-532-7227 |
Heartland Women's Healthcare Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 N Pleasant Ave, Centralia, IL 62801 Phone: 618-997-5266 |
The Surgery Center of Centralia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1045 Martin Luther King Dr, Centralia, IL 62801 Phone: 618-532-3110 Fax: 618-532-3110 |
Rajendra R Shroff MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 M L King Dr Ste 101, Centralia, IL 62801 Phone: 618-532-5700 |
Stephen T Ang MD SC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1054 Martin Luther King Dr, Ste 120, Centralia, IL 62801 Phone: 618-532-1688 Fax: 618-436-8081 |
Dr Shrestha MD SC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 M L King Dr, Suite 111, Centralia, IL 62801 Phone: 567-868-4507 Fax: 877-397-7287 |