Dr Michelle Colen, MD | |
800 W State St, Jacksonville, IL 62650-2290 | |
(217) 243-7700 | |
(217) 788-4611 |
Full Name | Dr Michelle Colen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 800 W State St, Jacksonville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336138122 | NPI | - | NPPES |
200122604 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2000160621 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring V | Springfield, IL | Home health agency |
Memorial Medical Center | Springfield, IL | Hospital |
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Physician Services | 9032005681 | 165 |
Entity Name | Memorial Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle Colen, MD 800 W State St, Jacksonville, IL 62650-2290 Ph: (217) 243-7700 | Dr Michelle Colen, MD 800 W State St, Jacksonville, IL 62650-2290 Ph: (217) 243-7700 |
Dr. Benjamin E. Montgomery, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 W Lafayette Ave Ste D, Jacksonville, IL 62650 Phone: 217-479-0290 | |
John L. Malcott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-243-9030 | |
Dr. John Andrew Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W State St, Jacksonville, IL 62650 Phone: 217-243-9471 Fax: 217-243-5359 | |
Dr. Marshall T Hale, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Agnes A Wood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. James Anthony Bohan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Mosam B Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 |