Dane Jack Church, MD in Springfield, IL - Medicare Orthopedic Surgery

Dane Jack Church, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Springfield, Illinois. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopaedic Center Of Il and his current practice location is 1301 S Koke Mill Rd, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 547-9100.

Dane Jack Church is licensed to practice in Illinois (license number 036148467) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790128387.

Contact Information

	Dane Jack Church, MD
	1301 S Koke Mill Rd, Springfield, IL 62711-9252
	(217) 547-9100
	(217) 547-9236

Map and Direction

Physician's Profile

Full Name	Dane Jack Church
Gender	Male
Speciality	Orthopedic Surgery
Experience	11 Years
Location	1301 S Koke Mill Rd, 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.

Medical Education and Training:

Dane Jack Church graduated from medical school in 2013

NPI Data:

NPI Number: 1790128387
Provider Enumeration Date: 04/12/2013
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 8123320389
Enrollment ID: I20190712002290

Medical Identifiers

Medical identifiers for Dane Jack Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790128387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0114X	Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery	036148467 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital
St Johns Hospital	Springfield, IL	Hospital
Mason District Hospital	Havana, IL	Hospital
Abraham Lincoln Memorial Hospital	Lincoln, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopaedic Center Of Il	0143299628	29

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dane Jack Church allows following entities to bill medicare on his behalf.

Entity Name	Orthopaedic Center Of Il
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154300572 PECOS PAC ID: 0143299628 Enrollment ID: O20040930001006

Entity Name	Orthopaedic Surgery Center Of Illinois Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1760457204 PECOS PAC ID: 0345381588 Enrollment ID: O20100109000109

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dane Jack Church is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dane Jack Church, MD 1301 S Koke Mill Rd, Springfield, IL 62711-9252 Ph: (217) 547-9100	Dane Jack Church, MD 1301 S Koke Mill Rd, Springfield, IL 62711-9252 Ph: (217) 547-9100

Reviews and Comments

Orthopaedic Surgery Doctors in Springfield, IL

Elliot M Johns, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 301 N 8th St Ste 3a158, Springfield, IL 62701 Phone: 317-697-6136
Dr. Austin Michael Beason, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-8000
John R Fisk, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305
Dr. Piero Capecci, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541
Jasmin L Mcginty, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 N 8th St, Ste Pav3b, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305
Christopher Evan Bejcek, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1159
Anthony Sleiman, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-6155

Dane Jack Church, MD - Medicare Orthopedic Surgery in Springfield, IL