Jubilee Phan, MD in Peoria, IL

Jubilee Phan, MD is a medicare enrolled "Urology" physician in Peoria, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2011 and has 13 years of diverse experience with area of expertise as Urology. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 1001 Main St Ste 400, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 308-0920.

Jubilee Phan is licensed to practice in Illinois (license number 036146849) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023308483.

Contact Information

	Jubilee Phan, MD
	1001 Main St Ste 400, Peoria, IL 61606-2036
	(309) 308-0920
	(309) 308-0930

Map and Direction

Physician's Profile

Full Name	Jubilee Phan
Gender	Female
Speciality	Urology
Experience	13 Years
Location	1001 Main St Ste 400, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jubilee Phan attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2011

NPI Data:

NPI Number: 1023308483
Provider Enumeration Date: 04/19/2011
Last Update Date: 10/05/2018

Medicare PECOS Information:

PECOS PAC ID: 8921245762
Enrollment ID: I20180807001143

Medical Identifiers

Medical identifiers for Jubilee Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023308483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	32178 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208800000X	Urology	036146849 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1552

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jubilee Phan allows following entities to bill medicare on her behalf.

Entity Name	Carle Health Care Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Jubilee Phan 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
Jubilee Phan, MD 1001 Main St Ste 400, Peoria, IL 61606-2036 Ph: (309) 308-0920	Jubilee Phan, MD 1001 Main St Ste 400, Peoria, IL 61606-2036 Ph: (309) 308-0920

Reviews and Comments

Urology Doctors in Peoria, IL

Dr. Robert Stuart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055
Dr. James Nicholas Kenny Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790
Dr. Churphena Reid, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 201, Peoria, IL 61606 Phone: 309-495-0282 Fax: 309-495-0298
Dr. Giovanni Colombo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055
Dr. Ted A Solomon, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790
Dr. Jose M Hernandez, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055

Jubilee Phan, MD - Medicare Urology in Peoria, IL