Jeffery S Deacon (NPI# 1104919075, PAC ID# 3274504832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1104919075 |
| PAC ID by PECOS | 3274504832 |
| Professional Enrollment ID | I20061221000132 |
| Full Name | Jeffery S Deacon |
| Address |
3403 Professional Park Dr Marion IL 62959-6394 |
| Phone Number | 6189930333 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| 141342 | ANNA HOSPITAL CORPORATION D/B/A UNION COUNTY HOSPITAL |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 N Main St D, Anna, IL 62906-1668 | 6188332872 | ANNA CLINIC CORP |
| 515 N Main St E, Anna, IL 62906-1668 | 6188332872 | ANNA CLINIC CORP |
| 3403 Professional Park Dr, Marion, IL 62959-6394 | 6189930333 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 31% | |
| MIPS_EC_047_overall | Care Plan | 31% |
| Street Address |
3403 PROFESSIONAL PARK DR |
| City | MARION |
| State | IL |
| Zip | 62959-6394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin M White | Chiropractic | 1603 W Kimmel, Marion, IL 62959 | |
| Elizabeth E Lawler | Endocrinology | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Michael P Lawler | Internal Medicine | 1129 N Carbon St, Suite 3, Marion, IL 62959-1068 | |
| James T Lawler | Internal Medicine | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Shirley George | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| Aaron M Morehead | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| William P Hess Sr. | Podiatry | 1506 W Main St, Marion, IL 62959-1144 | |
| Gary S Karnes | Chiropractic | 1716 W Main, Marion, IL 62959-1148 | |
| Steven C Blandford | Chiropractic | 1716 Main St, Marion, IL 62959-1148 | |
| Mark D Whitehead | Chiropractic | 2103 W Main, Marion, IL 62959-1163 | |
| Find all physicians in zip 62959 | |||
| City | MARION |
| Zip Code | 62959 |
| Specialty | PODIATRY |
| City + Specialty | MARION + PODIATRY |
Please comment or provide details below to improve the information on Jeffery S Deacon.
| 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.