Jeffrey Ryan Sparks, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Macomb, Illinois. His current practice location is
515 E Grant St, Suite 113, Macomb, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 833-6937.
Jeffrey Ryan Sparks is licensed to practice in Illinois (license number 036-132116) 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 1780935197.
Physician's Profile
Full Name | Jeffrey Ryan Sparks |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 515 E Grant St, Macomb, Illinois |
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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:
- Jeffrey Ryan Sparks attended and graduated from in
NPI Data:
- NPI Number: 1780935197
- Provider Enumeration Date: 09/25/2012
- Last Update Date: 02/28/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jeffrey Ryan Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780935197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 2009026507 (Missouri) | Secondary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 036-132116 (Illinois) | Primary |
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. Jeffrey Ryan Sparks 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 |
Jeffrey Ryan Sparks, DO 515 E Grant St, Suite 113, Macomb, IL 61455-3368 Ph: (309) 833-6937 | Jeffrey Ryan Sparks, DO 515 E Grant St, Suite 113, Macomb, IL 61455-3368 Ph: (309) 833-6937 |
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