Jerry L Beguelin (NPI# 1245228881, PAC ID# 2769462373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1245228881 |
| PAC ID by PECOS | 2769462373 |
| Professional Enrollment ID | I20040723000608 |
| Full Name | Jerry L Beguelin |
| Organization Legal Name | IRVINGTON TOWNSHIP RURAL HEALTH CLINIC, LLC |
| Address |
205 Huron Ave Irvington IL 62848-0190 |
| Phone Number | 6182496203 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1850485624 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| 140046 | GOOD SAMARITAN REGIONAL HLTH CENTER |
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 141308 | WASHINGTON COUNTY HOSPITAL* |
| Address | Phone | Organization |
|---|---|---|
| 205 Huron Ave, Irvington, IL 62848-0190 | 6182496203 | IRVINGTON TOWNSHIP RURAL HEALTH CLINIC, LLC |
| Organization Legal Name | IRVINGTON TOWNSHIP RURAL HEALTH CLINIC, LLC |
| Physicians | 1 |
| Street Address |
205 HURON AVE |
| City | IRVINGTON |
| State | IL |
| Zip | 62848-0190 |
| City | IRVINGTON |
| Zip Code | 62848 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | IRVINGTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jerry L Beguelin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.