Jacob Manoj Kitchener, MD in Springfield, IL - Medicare Interventional Radiology

Jacob Manoj Kitchener, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Springfield, Illinois. He went to Northeastern Ohio University College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Ssm Medical Group Inc, Springfield Clinic Llp and his current practice location is 421 N 9th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 757-6868.

Jacob Manoj Kitchener is licensed to practice in Illinois (license number 036111221) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003818733.

Contact Information

	Jacob Manoj Kitchener, MD
	421 N 9th St, Springfield, IL 62702
	(217) 757-6868
	(177) 576-8672

Map and Direction

Physician's Profile

Full Name	Jacob Manoj Kitchener
Gender	Male
Speciality	Interventional Radiology
Experience	24 Years
Location	421 N 9th St, Springfield, 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.

Medical Education and Training:

Jacob Manoj Kitchener attended and graduated from Northeastern Ohio University College Of Medicine in 2000

NPI Data:

NPI Number: 1003818733
Provider Enumeration Date: 08/12/2005
Last Update Date: 03/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9638100118
Enrollment ID: I20100610000997

Medical Identifiers

Medical identifiers for Jacob Manoj Kitchener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003818733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	2009027338 (Missouri)	Secondary
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	35-08-6697-K (Ohio)	Secondary
2084V0102X	Psychiatry & Neurology - Vascular Neurology	35.086697 (Ohio)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	036111221 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm St Clare Health Center	Fenton, MO	Hospital
St Johns Hospital	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Medical Group Inc	6608776299	496
Springfield Clinic Llp	0547166076	673

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Manoj Kitchener allows following entities to bill medicare on his behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Manoj Kitchener is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Manoj Kitchener, MD 421 N 9th St, Springfield, IL 62702-5317 Ph: (217) 757-6868	Jacob Manoj Kitchener, MD 421 N 9th St, Springfield, IL 62702 Ph: (217) 757-6868

Reviews and Comments

Psychiatry & Neurology Doctors in Springfield, IL

Madeleine Elizabeth Brindle, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 319 E Madison St Fl 3, Springfield, IL 62701 Phone: 217-545-8229 Fax: 217-545-2275
Dr. Kripakaran M Puvalai, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1124 South Sixth Street, Springfield, IL 62703 Phone: 217-523-3143 Fax: 217-523-7695
Dr. Basar Cenik, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-747-1351
Dr. Oyoyo Francess Sawyer, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 319 E Madison St Fl 3, Springfield, IL 62701 Phone: 217-545-8229 Fax: 217-545-2275
Dr. Abdullah Alsawaf, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 3100, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7363
James M Gilchrist, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7363

Jacob Manoj Kitchener, MD - Medicare Interventional Radiology in Springfield, IL