Dr Jesse L Vanle, MD | |
1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 | |
(309) 662-5506 | |
(309) 662-5443 |
Full Name | Dr Jesse L Vanle |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 30 Years |
Location | 1505 Eastland Dr, Bloomington, 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 |
---|---|---|---|
1366435224 | NPI | - | NPPES |
204597405 | Medicaid | MO | |
2299329 | Other | UNITED HEALTHCARE | |
37875 | Other | PHCS | |
IL0106 | Other | JOHN DEERE HEALTH PLAN | |
036109293001 | Other | OSF HEALTH PLANS | |
084529 | Other | IL | HEALTH ALLIANCE PROVIDER |
036109293 | Medicaid | IL | |
05732036 | Other | IL | BLUE SHIELD GROUP NUMBER |
566399 | Other | HEALTHLINK | |
37972 | Other | TRICARE | |
276560 | Other | PERSONAL CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036109293 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Bloomington, IL | Hospital |
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Saint James Hospital | Pontiac, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse L Vanle, MD 1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 Ph: (309) 662-5506 | Dr Jesse L Vanle, MD 1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 Ph: (309) 662-5506 |
Dr. Glen B Smith, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 210, Bloomington, IL 61701 Phone: 309-662-5506 Fax: 309-662-5443 |