Dr Jeffrey R Barra, MD | |
5100 Lake Ter Ne, Suite Wc, Mount Vernon, IL 62864-9665 | |
(618) 899-5001 | |
(618) 242-5152 |
Full Name | Dr Jeffrey R Barra |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 5100 Lake Ter Ne, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679548713 | NPI | - | NPPES |
036107295 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036107295 (Illinois) | Primary |
Entity Name | Premise Health Of Illinois Medical, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey R Barra, MD 5100 Lake Ter Ne, Suite Wc, Mount Vernon, IL 62864-9665 Ph: (618) 899-5001 | Dr Jeffrey R Barra, MD 5100 Lake Ter Ne, Suite Wc, Mount Vernon, IL 62864-9665 Ph: (618) 899-5001 |
Dr. Murke Franklin Harrison, DO LTD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2712 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-2000 Fax: 618-244-6625 | |
Dr. Charles W Neal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Esther Schulz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-899-1264 Fax: 618-241-4848 | |
Linden R Pearson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864 Phone: 618-244-6770 Fax: 618-244-6772 | |
Dr. Jacques Papazian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864 Phone: 618-242-0672 Fax: 618-242-0862 | |
Dr. Kristen Jacobs, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 329 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-3370 | |
Christopher Wilson Modert, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Doctors Park Rd Ste C, Mount Vernon, IL 62864 Phone: 618-244-1234 |