John D Hartman, MD | |
201 Bailey Lane, Benton, IL 62812-0000 | |
(618) 439-3161 | |
(618) 439-4049 |
Full Name | John D Hartman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 201 Bailey Lane, Benton, 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 |
---|---|---|---|
1851399976 | NPI | - | NPPES |
036111331 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2004014269 (Missouri) | Secondary |
207Q00000X | Family Medicine | 036111331 (Illinois) | Primary |
207Q00000X | Family Medicine | 2004014269 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Franklin Hospital | Benton, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Hospital Services | 2961310966 | 15 |
Franklin Hospital District | 4082516042 | 27 |
Entity Name | Southern Illinois Hospital Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528158573 PECOS PAC ID: 2961310966 Enrollment ID: O20031211000718 |
Entity Name | Siu Physicians & Surgeons Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Entity Name | Franklin Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
Mailing Address | Practice Location Address |
---|---|
John D Hartman, MD 201 Bailey Lane, Benton, IL 62812-0000 Ph: (618) 439-3161 | John D Hartman, MD 201 Bailey Lane, Benton, IL 62812-0000 Ph: (618) 439-3161 |
Ralph I Latta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 N Duquoin, Benton, IL 62812 Phone: 618-435-5362 Fax: 618-438-2613 | |
Brian Harrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Bailey Ln Ste 1, Benton, IL 62812 Phone: 618-438-5670 Fax: 618-438-5709 | |
Dr. Richard Rethorst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969 | |
Anthony Miksanek, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622 |