Jeremiah Francis Bushmaker, DPM
Individual provider Active NPI Foot Surgery Podiatrist · Galesburg, IL
NPI 1114133014 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1114133014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- 016005689 (IL)
- Practice address
- 3315 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-1000
- Fax
- (309) 344-2405
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Healthcare System
Osf Multi-Specialty Group
Practice addresses (Care Compare)
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
3315 N Seminary St
St 101
Galesburg, IL 61401-1251
Phone (309) 344-1000
Hospital & facility affiliations
- St Mary Medical Center
- Osf Holy Family Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 180 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 80 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151215001169 | IL | Practitioner - Podiatry | 2466524293 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients |
Locations
3375 N Seminary St
Galesburg, IL 61401
Phone (309) 343-5114
3315 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1000
3315 N Seminary St
#101
Galesburg, IL 61401
Phone (309) 344-1000
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 016005689 | IL | Yes |
Addresses
Primary practice location
3315 N Seminary St
Galesburg, IL 61401-1251
Mailing address
3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1321420001 | Other | VA | CIGNA GOVERNMENT SERVICES |
| CH2037 | Other | VA | MEDICARE RAILROAD |
Other providers in Galesburg, IL
- Brian Christopher Buelt
- Sarah Bullock
- Ashley Marie Buras
- Burgland Drug Inc
- George G. Burgland
- Rhett Bartlett Butler
- Ritchelle Arellano Cabonce
- Cristian Cabrera
- Mary Lynn Calderone
- Codie Calles
All providers in Galesburg, IL · Foot Surgery Podiatrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.