Lawrence Lee Jeckel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

2500 Galen Dr
Champaign, IL 61821-7038

Phone

(217) 356-0228

Fax

(217) 356-0667

NPI assigned

Apr 3, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 20, 2014 through Apr 20, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrence L Jeckel MD PC

  • Psychiatry Physician
  • Champaign, IL
  • NPI 1003983057
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1831362409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GALEN DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217038",
            "telephone_number": "217-356-0228",
            "fax_number": "217-356-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GALEN DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217038",
            "telephone_number": "217-356-0228",
            "fax_number": "217-356-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JECKEL",
        "first_name": "LAWRENCE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela E Jancola, LCSW
• Rachel Michelle Jankiewicz, M.A., CCC-SLP
• Japhia Hannah Jayasingh-Ramkumar, M.D.
• Jbe Transport and Logistics
• Richard Jean, A.T.C.
• Debra J Jedd, PSYD
• Casey Lynn Jenkins
• Doris Jenkins
• Tiffany Keisha Jenkins, PHD, NCSP
• Amy Jessup, NP

• Psychiatry Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.