Jeffrey Alan Sherrill, PA-C
Individual provider Active NPI Medical Physician Assistant · Anna, IL
NPI 1134470552 · NPPES record last updated Apr 25, 2016
Key facts
- NPI
- 1134470552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 085004463 (IL)
- Practice address
- 513 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-4471
- Fax
- (618) 833-6267
- NPI assigned
- Sep 25, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Southern Illinois University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health, Inc.
Practice addresses (Care Compare)
513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471
Hospital & facility affiliations
- Deaconess Illinois Union County
- Memorial Hospital of Carbondale
- Herrin Hospital
- Saint Francis Medical Center
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: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130429000388 | IL | Practitioner - Physician Assistant | 6507002045 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health, Inc. | Current |
Accepting new patients | |
| Rural Health, Inc. | Current |
Accepting new patients |
Locations
513 N Main St
Anna, IL 62906
Phone (618) 833-4471
Interoperability endpoints
- jeff.sherrill.1@7601.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085004463 | IL | Yes |
Addresses
Primary practice location
513 N Main St
Anna, IL 62906-1668
Mailing address
513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471
Other providers in Anna, IL
- Brittany Lynn Scanlon
- Karrie Diana Schaefer
- Kathy L Schierbaum
- Sensational Kids, LLC
- Laura Sharrow
- Tiffany Ann Short
- Jodi Simmons
- David Keith Smiley
- Amanda June Smith
- Sonya Smith
All providers in Anna, IL · Medical Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2016. 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.