| Bernadette Ray, MD | |
|
2103 E Washington St Ste 1d, Bloomington, IL 61701-4310 | |
| (888) 240-1121 | |
| (888) 240-1121 |
| Full Name | Bernadette Ray |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2103 E Washington St Ste 1d, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164634267 | NPI | - | NPPES |
| 370647938006 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036121344 (Illinois) | Primary |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Ray Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902402597 PECOS PAC ID: 4183032048 Enrollment ID: O20210415000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadette Ray, MD 120 W 19th St, Gibson City, IL 60936-1000 Ph: (217) 778-4372 | Bernadette Ray, MD 2103 E Washington St Ste 1d, Bloomington, IL 61701-4310 Ph: (888) 240-1121 |
Dr. Justin James Holschbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Thomas L Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-661-6414 Fax: 309-661-4666 | |
Jermy Enrique Crespo Gonzalez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington Street, Bloomington, IL 61701 Phone: 309-665-5996 | |
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 | |
Mfowethu Theophilus Langeni, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Shilpa Mehta, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322 |