John O Watson, MD | |
1301 S Koke Mill Rd, Springfield, IL 62711-9252 | |
(217) 547-9100 | |
(217) 547-9247 |
Full Name | John O Watson |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 23 Years |
Location | 1301 S Koke Mill Rd, 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 |
---|---|---|---|
1396770087 | NPI | - | NPPES |
P00608201 | Other | IL | RR MEDICARE |
036119109 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 036119109 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Hospital | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Center Of Il | 0143299628 | 29 |
Entity Name | Orthopaedic Center Of Il |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154300572 PECOS PAC ID: 0143299628 Enrollment ID: O20040930001006 |
Mailing Address | Practice Location Address |
---|---|
John O Watson, MD Po Box 9469, Springfield, IL 62791-9469 Ph: (217) 547-9100 | John O Watson, MD 1301 S Koke Mill Rd, Springfield, IL 62711-9252 Ph: (217) 547-9100 |
Seth Bires, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 | |
James Patrick Newman, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
Jordan Sestak Bruce, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 3100, Springfield, IL 62702 Phone: 217-545-8000 | |
Jason Todd Royer, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3631 S 6th St, Springfield, IL 62703 Phone: 217-535-3685 Fax: 217-529-0988 | |
Louis Kienzler Graham, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Suite 3100, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7393 | |
Ellyn Leuelling, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 128 Nottingham Rd, Springfield, IL 62704 Phone: 217-502-8587 |