Mr Donald Paul Prentiss Jr, MD | |
1221 N Highland Ave, Aurora, IL 60506-1404 | |
(630) 859-8700 | |
Not Available |
Full Name | Mr Donald Paul Prentiss Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 30 Years |
Location | 1221 N Highland Ave, Aurora, 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 |
---|---|---|---|
1275617839 | NPI | - | NPPES |
036096029 | Medicaid | IL | |
K8818 | Other | TX | LICENSE NUMBER |
01074235A | Other | IN | LICENSE NUMBER |
04515143 | Other | IL | BCBS# |
7258113 | Other | TX | AETNA PROVIDER NUMBER |
0072GK | Other | TX | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01074235A (Indiana) | Secondary |
208600000X | Surgery | K8818 (Texas) | Secondary |
208600000X | Surgery | 036-096029 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Fhn Memorial Hospital | Freeport, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
Freeport Regional Health Care Foundation | 9234041682 | 91 |
Entity Name | Freeport Regional Health Care Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald Paul Prentiss Jr, MD 1870 W Galena Blvd, Aurora, IL 60506-4356 Ph: (630) 859-6700 | Mr Donald Paul Prentiss Jr, MD 1221 N Highland Ave, Aurora, IL 60506-1404 Ph: (630) 859-8700 |
Nancy E Whereatt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
Dr. Daniel Katz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2040 Ogden Ave Ste 304, Aurora, IL 60504 Phone: 630-898-3727 | |
Craig L Weinstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2040 Ogden Ave, Ste. 115, Aurora, IL 60504 Phone: 630-585-0200 Fax: 630-585-7396 | |
Tedi Vlahu, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 N Highland Ave, Aurora, IL 60506 Phone: 630-801-5700 | |
Dr. Gregory A Spitz, M.D., F.A.C.S Surgery Medicare: Accepting Medicare Assignments Practice Location: 1256 Waterford Dr, Suite 130, Aurora, IL 60504 Phone: 630-820-2727 Fax: 630-820-7427 | |
Franklin E Baumann, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 Fax: 630-264-8858 |