Asad Jamal, MD | |
403 E 1st St, Dixon, IL 61021 | |
(815) 285-5629 | |
(815) 285-5634 |
Full Name | Asad Jamal |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 403 E 1st St, Dixon, 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 |
---|---|---|---|
1013950476 | NPI | - | NPPES |
F400220687 | Other | IL | MEDICARE PTAN |
553180 | Other | IL | MEDICARE GROUP |
036114596 | Medicaid | IL | |
834340 | Other | IL | MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-114596 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036114596 (Illinois) | Secondary |
208M00000X | Hospitalist | 036114596 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Morrison Community Hospital | Morrison, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Morrison Community Hospital District | 2466349907 | 31 |
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Morrison Community Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700907250 PECOS PAC ID: 2466349907 Enrollment ID: O20040301000685 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Morrison Community Hospital District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
Mailing Address | Practice Location Address |
---|---|
Asad Jamal, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-5629 | Asad Jamal, MD 403 E 1st St, Dixon, IL 61021 Ph: (815) 285-5629 |
Gail E Prendergast, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 |