Mr Jon E Andersen, DO is a medicare enrolled "Surgery" physician in Jerseyville, Illinois. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1983 and has 41 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Jersey Community Hospital and his current practice location is
390 Maple Summit Rd, Jerseyville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 498-2101.
Mr Jon E Andersen is licensed to practice in Illinois (license number 036102731) 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 1841304888.
Physician's Profile
| Full Name | Mr Jon E Andersen |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 41 Years |
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| Location | 390 Maple Summit Rd, Jerseyville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jon E Andersen attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1983
NPI Data:
- NPI Number: 1841304888
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608760756
- Enrollment ID: I20080213000164
Medical Identifiers
Medical identifiers for Mr Jon E Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841304888 | NPI | - | NPPES |
| 067210 | Other | IL | HEALTH ALLIANCE |
| 784310 | Other | IL | MEDICARE |
| 036102731 | Medicaid | IL | |
| 431532 | Other | IL | HEALTHLINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 036102731 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jersey Community Hospital | 4587650445 | 31 |
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. Mr Jon E Andersen allows following entities to bill medicare on his behalf.
| Entity Name | Jersey Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780609925
PECOS PAC ID: 4587650445
Enrollment ID: O20040424000140 |
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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. Mr Jon E Andersen 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 |
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Mr Jon E Andersen, DO
390 Maple Summit Rd,
Jerseyville, IL 62052-2000
Ph: (618) 498-7518 | Mr Jon E Andersen, DO
390 Maple Summit Rd,
Jerseyville, IL 62052-2000
Ph: (618) 498-2101 |
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