Shawn M Fry, MD | |
610 N. Westgate, Jacksonville, IL 62650 | |
(217) 245-9931 | |
Not Available |
Full Name | Shawn M Fry |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 24 Years |
Location | 610 N. Westgate, Jacksonville, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659467793 | NPI | - | NPPES |
036108501 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-108501 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony's Home Health | Alton, IL | Home health agency |
Osf Saint Anthony's Health Center | Alton, IL | Hospital |
Alton Memorial Hospital | Alton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
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 |
Mailing Address | Practice Location Address |
---|---|
Shawn M Fry, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Shawn M Fry, MD 610 N. Westgate, Jacksonville, IL 62650 Ph: (217) 245-9931 |
Dr. Benjamin E. Montgomery, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 W Lafayette Ave Ste D, Jacksonville, IL 62650 Phone: 217-479-0290 | |
John L. Malcott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 Fax: 217-243-9030 | |
Dr. John Andrew Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W State St, Jacksonville, IL 62650 Phone: 217-243-9471 Fax: 217-243-5359 | |
Dr. Marshall T Hale, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Agnes A Wood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Founders Lane, Jacksonville, IL 62650 Phone: 217-528-7541 | |
Dr. James Anthony Bohan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Mosam B Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541 |