| Bruce Allen Marshall, MD | |
|
101 N 1st St, Springfield, IL 62781-0001 | |
| (217) 622-4693 | |
| (217) 788-5556 |
| Full Name | Bruce Allen Marshall |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 40 Years |
| Location | 101 N 1st St, Springfield, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548373392 | NPI | - | NPPES |
| 011112 | Other | IL | HEALTH ALLIANCE |
| 036102654 | Medicaid | IL | |
| 220028805 | Other | IL | RR MEDICARE |
| 32017 | Other | IL | PERSONAL CARE ID |
| 020102500 | Other | IL | BLACK LUNG |
| 08415043 | Other | IL | IL BLUE CROSS BLUE SHIELD |
| 684895 | Other | IL | HEALTHLINK |
| C12333 | Other | IL | RR MEDICARE GROUP |
| 133101600 | Other | IL | ACS |
| 14D0435736 | Other | IL | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036102654 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Springfield, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Pathologists Ltd | 0345212866 | 10 |
| Pathology Associates Of Central Illinois Ltd | 6103813449 | 14 |
| Entity Name | Pathology Associates Of Central Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548363138 PECOS PAC ID: 6103813449 Enrollment ID: O20040428000745 |
| Entity Name | Associated Pathologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174564587 PECOS PAC ID: 0345212866 Enrollment ID: O20040806000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Allen Marshall, MD 6450 Reliable Parkway, Chicago, IL 60686 Ph: (217) 788-3000 | Bruce Allen Marshall, MD 101 N 1st St, Springfield, IL 62781-0001 Ph: (217) 622-4693 |
Cassi Brielle Grotepas, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-522-3117 | |
Dr. Onsi W Kamel, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Cody Eric Freitag, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-522-3117 | |
Joan Barenfanger, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Memorial Medical Center Laboratory Medicine, Springfield, IL 62781 Phone: 217-788-3672 Fax: 217-788-5577 | |
Michael Jon Beckmann, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Memorial Medical Center, Springfield, IL 62781 Phone: 217-788-3064 Fax: 217-788-5577 | |
Patrick R Hemmer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Dr. Thomas Czeczok, Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-522-3117 |