Dr Luis C Devenecia Jr, MD | |
1120 N East St, Olney, IL 62450-6927 | |
(618) 395-5222 | |
(618) 395-8552 |
Full Name | Dr Luis C Devenecia Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 1120 N East St, Olney, 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 |
---|---|---|---|
1750495792 | NPI | - | NPPES |
063073 | Other | IL | HEALTH ALLIANCE |
036091236 | Medicaid | IL | |
296286 | Other | IL | HEALTH LINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036091236 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carle Home Care | Champaign, IL | Home health agency |
Lhc-illinois Home Health Care | Marion, IL | Home health agency |
Carle Richland Memorial Hospital | Olney, IL | Hospital |
Clay County Hospital | Flora, IL | Hospital |
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
St Anthonys Memorial Hospital | Effingham, IL | Hospital |
Crawford Memorial Hospital | Robinson, IL | Hospital |
Helia Healthcare Of Olney | Olney, IL | Nursing home |
Richland Nursing & Rehab | Olney, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 104 |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
---|---|
Dr Luis C Devenecia Jr, MD 1120 N East St, Olney, IL 62450-6927 Ph: (618) 395-5222 | Dr Luis C Devenecia Jr, MD 1120 N East St, Olney, IL 62450-6927 Ph: (618) 395-5222 |
Mr. Arcot D Suresh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Yekaterina Fayn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-392-1139 Fax: 618-392-1138 |