Adam Jordan Henson, | |
916 N Washington Street, Du Quoin, IL 62832 | |
(618) 790-7401 | |
Not Available |
Full Name | Adam Jordan Henson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 916 N Washington Street, Du Quoin, 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 |
---|---|---|---|
1154684975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036137639 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
Marshall Browning Hospital | Du quoin, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Pinckneyville Community Hospital | Pinckneyville, IL | Hospital |
Franklin Hospital | Benton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marshall Browning Hospital Association | 9335049980 | 25 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | Marshall Browning Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821099441 PECOS PAC ID: 9335049980 Enrollment ID: O20040226000868 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Adam Jordan Henson, 900 N Washington St, Du Quoin, IL 62832-1233 Ph: (618) 790-7401 | Adam Jordan Henson, 916 N Washington Street, Du Quoin, IL 62832 Ph: (618) 790-7401 |
Dr. David E Gerdt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 N Washington St, Du Quoin, IL 62832 Phone: 618-542-2146 Fax: 618-542-4756 | |
Benjamin T Rathert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 | |
Charelle Octavia Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 | |
Dr. Suzanne Burge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 | |
Darragh O'connor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 900 N Washington St, Du Quoin, IL 62832 Phone: 618-542-2146 | |
Carmen Krejci, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 119 Gas Plant Rd, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-724-2571 |