Dr Tim C Kisabeth, MD | |
270 Maple Summit Rd, Jerseyville, IL 62052 | |
(618) 498-2273 | |
(618) 639-7997 |
Full Name | Dr Tim C Kisabeth |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 42 Years |
Location | 270 Maple Summit Rd, Jerseyville, 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 |
---|---|---|---|
1851384796 | NPI | - | NPPES |
036073254 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036-073254 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jersey Community Hospital | Jerseyville, IL | Hospital |
Alton Memorial Hospital | Alton, IL | Hospital |
Osf Saint Anthony's Health Center | Alton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jersey Community Hospital | 4587650445 | 31 |
Entity Name | Jersey Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
Mailing Address | Practice Location Address |
---|---|
Dr Tim C Kisabeth, MD 390 Maple Summit Rd, Jerseyville, IL 62052-2000 Ph: (618) 498-7518 | Dr Tim C Kisabeth, MD 270 Maple Summit Rd, Jerseyville, IL 62052 Ph: (618) 498-2273 |
Roger A Schroeder, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-3612 | |
Dr. Batool N Vali, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1702 W. County Road, Jerseyville, IL 62052 Phone: 618-498-3612 Fax: 618-639-2008 | |
Ronald Lee Schroeder, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1211 West Carpenter, Jerseyville, IL 62052 Phone: 618-498-5027 |