Dr Danny M Sartore, MD | |
1600 W Walnut St, Passavant Area Hospital, Jacksonville, IL 62650-1136 | |
(217) 245-9541 | |
Not Available |
Full Name | Dr Danny M Sartore |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1600 W Walnut St, Jacksonville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922096973 | NPI | - | NPPES |
036079801 | Medicaid | IL | |
08415040 | Other | IL | BLUE CROSS BLUE SHIELD |
104409 | Other | IL | HEALTHLINK GROUP NUMBER |
32490 | Other | IL | PERSONAL CARE |
178809 | Other | IL | HEALTHLINK UPIN NUMBER |
085972 | Other | IL | HEALTH ALLIANCE NUMBER |
L031806 | Other | IL | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036079801 (Illinois) | Primary |
Entity Name | Jacksonville Crnas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821302068 PECOS PAC ID: 2961681523 Enrollment ID: O20110127001154 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
---|---|
Dr Danny M Sartore, MD 4009 Surry Place Ln, Springfield, IL 62711-8109 Ph: () - | Dr Danny M Sartore, MD 1600 W Walnut St, Passavant Area Hospital, Jacksonville, IL 62650-1136 Ph: (217) 245-9541 |
Dr. Peter Roodhouse, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-9541 |