Dr Scott Smithgall, DO | |
350 N Wall St, Kankakee, IL 60901-2901 | |
(815) 933-1671 | |
Not Available |
Full Name | Dr Scott Smithgall |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 25 Years |
Location | 350 N Wall St, Kankakee, 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 |
---|---|---|---|
1902845027 | NPI | - | NPPES |
036105701-1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-105701 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
Adventist Glenoaks | Glendale heights, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Emergency Medicine Specialists Llc | 6103071808 | 35 |
Entity Name | Epmg Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528098902 PECOS PAC ID: 1254225345 Enrollment ID: O20040210000751 |
Entity Name | Illinois Emergency Medicine Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003150962 PECOS PAC ID: 6103071808 Enrollment ID: O20130304000132 |
Entity Name | Riverside Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548969181 PECOS PAC ID: 6204294119 Enrollment ID: O20230626002054 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott Smithgall, DO 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: (734) 995-3764 | Dr Scott Smithgall, DO 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 933-1671 |
Dr. Renee Lori Peksa-sink, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7500 | |
Dr. Vernell Johnson Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
Dr. Thaddeus Manczko, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Steven Decker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Brian Crowley, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
John Lacheta, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Timothy Moran, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 |