Jeave Reserva, MD | |
900 N 1st St, Springfield, IL 62702-3749 | |
(217) 528-7541 | |
Not Available |
Full Name | Jeave Reserva |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 12 Years |
Location | 900 N 1st 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669731618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036153066 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Jeave Reserva, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Jeave Reserva, MD 900 N 1st St, Springfield, IL 62702-3749 Ph: (217) 528-7541 |
Bredesen Hartmann, MD Dermatology Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438 | |
Mrs. Lucinda S Buescher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3821 Fax: 217-545-4485 | |
Kortni Michell Kemper, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 751 N Rutledge St Ste 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7438 | |
Elizabeth A Small, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Dr. Adarsh A Kumar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2040 Timberbrooke Drive, Springfield, IL 62702 Phone: 217-787-2511 Fax: 217-787-2513 | |
Rebecca J Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-4485 | |
Dr. Brittany Sweet, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Centre West Dr, Springfield, IL 62704 Phone: 217-528-7541 |