Active NPI
Jason B Jerabek, DO
- Family Medicine Physician
- Charleston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-099396
- Practice address
- 506 W Lincoln Ave
Suite 200 a
Charleston, IL 61920-2453 - Phone
- (217) 281-0024
- Fax
- (217) 345-7146
- NPI assigned
- Aug 25, 2006
- Last updated
- Nov 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-099396 | IL | Primary |
Addresses
Primary practice location
506 W Lincoln Ave
Suite 200 a
Charleston, IL 61920-2453
Mailing address
506 W Lincoln Ave
Suite 200 a
Charleston, IL 61920-2453
Phone (217) 281-0024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131
929 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131
935 Bryant St
Louisville, IL 62858-1053
Phone (618) 662-2131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099396 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| L.E. McNeill, MD SC | Family Medicine | Past | Accepting new patients |
| Charleston Primary Care Inc. | Past | Accepting new patients | |
| County of Clay | Past | Accepting new patients |
Locations
939 Sunset Rd SW
Clay City, IL 62824
Phone (686) 662-2131
911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161
929 Stacey Burk Dr
Flora, IL 62839
14265 Highway 45
Louisville, IL 62858
Interoperability endpoints
- jjera@yourcarecommunity.org
- jjerabek370772@direct-ehr-ssmhc.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Charleston, IL
- NPI 1770905952
-
- Rural Health Clinic/Center
- Clay City, IL
- NPI 1871950550
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Sacred Heart Medical Center
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1396853008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 W LINCOLN AVE",
"address_2": "SUITE 200 A",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619202453",
"telephone_number": "217-281-0024",
"fax_number": "217-345-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 W LINCOLN AVE",
"address_2": "SUITE 200 A",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619202453",
"telephone_number": "217-281-0024",
"fax_number": "217-345-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERABEK",
"first_name": "JASON",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-099396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.