Michael Paul Jones, MD - Medicare Ophthalmology in Swansea, IL

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Michael Paul Jones, MD is a medicare enrolled "Ophthalmology" physician in Swansea, Illinois. He went to Saint Louis University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Prairie Eye Center, Ltd, Jfj Eyecare Ltd, Jfj Eyecare Ltd, Cookeville Eye Specialists, Pllc and his current practice location is 3990 N Illinois St, Swansea, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 277-1130.

Michael Paul Jones is licensed to practice in Missouri (license number 2003012177) 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 1164589164.

Contact Information

Michael Paul Jones, MD
3990 N Illinois St,
Swansea, IL 62226-1919
(618) 277-1130
(618) 277-4917

Map and Direction




Physician's Profile

Full NameMichael Paul Jones
GenderMale
SpecialityOphthalmology
Experience21 Years
Location3990 N Illinois St, Swansea, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Paul Jones attended and graduated from Saint Louis University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1164589164
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 11/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315047479
  • Enrollment ID: I20070703000337

Medical Identifiers

Medical identifiers for Michael Paul Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164589164NPI-NPPES
1376586685OtherILNPI GROUP
2011019383OtherMOMO LICENSE
036117802MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 2003012177 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys HospitalDecatur, ILHospital
Pana Community HospitalPana, ILHospital
St Joseph's HospitalHighland, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Eye Center, Ltd650777982417
Jfj Eyecare Ltd822400986513
Jfj Eyecare Ltd822400986513
Cookeville Eye Specialists, Pllc52947579856

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. Michael Paul Jones allows following entities to bill medicare on his behalf.
Entity NamePrairie Eye Center, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447222864
PECOS PAC ID: 6507779824
Enrollment ID: O20031111000811
Entity NameJfj Eyecare Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376586685
PECOS PAC ID: 8224009865
Enrollment ID: O20040805000548

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. Michael Paul Jones 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 AddressPractice Location Address
Michael Paul Jones, MD
3990 N Illinois St,
Swansea, IL 62226-1919

Ph: (618) 277-1130		Michael Paul Jones, MD
3990 N Illinois St,
Swansea, IL 62226-1919

Ph: (618) 277-1130

Reviews and Comments


Ophthalmology Doctors in Swansea, IL

Mark Allen Nekola, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3990 N Illinois St, Swansea, IL 62226
Phone: 618-277-1130    Fax: 618-277-4917
Dr. Homer Ashton Ferguson Jr., M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3990 N Illinois St, Swansea, IL 62226
Phone: 618-277-1130    Fax: 618-277-4917
Dr. Jeffrey Michael Maher, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3990 N Illinois St, Swansea, IL 62226
Phone: 618-277-1130    Fax: 618-277-4917
Eric Hunt Wigton, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3990 N Illinois St, Swansea, IL 62226
Phone: 618-277-1130    Fax: 618-277-4917
Dr. Bart Aaron Jones, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 3990 N Illinois St, Swansea, IL 62226
Phone: 618-277-1130    Fax: 618-277-4917
Dr. Thomas Nicholas Fleming, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 3990 N Illinois St, Swansea, IL 62226
Phone: 618-277-1130    Fax: 618-277-4917

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.