Jimmie Marquette Smith, MD | |
180 S Main St, Canton, IL 61520-2608 | |
(309) 647-0201 | |
(309) 649-6880 |
Full Name | Jimmie Marquette Smith |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 180 S Main St, Canton, 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 |
---|---|---|---|
1194834937 | NPI | - | NPPES |
1942315197 | Other | IL | NPI CLINIC NUMBER |
CG5172 | Other | IL | RR MEDICARE GROUP# |
014146 | Other | IL | HEALTH ALLIANCE |
110200800 | Other | IL | RR MEDICARE PIN |
IL0112 | Other | IL | JOHN DEERE |
0062839 | Other | IL | UMWA |
02922981 | Other | IL | BCBS |
036085766 | Medicaid | IL | |
085766 | Other | IL | OSF HEALTHPLANS |
200397 | Other | IL | BLACK LUNG |
207537 | Other | IL | HEALTH LINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036085766 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Graham Hospital Association | Canton, IL | Hospital |
Mason District Hospital | Havana, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Graham Hospital Association | 2769375021 | 95 |
Entity Name | Graham Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Entity Name | Graham Hospital Association |
---|---|
Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20170522000286 |
Mailing Address | Practice Location Address |
---|---|
Jimmie Marquette Smith, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Jimmie Marquette Smith, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
John M Mccarthy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8949 |