| Christopher M Herman, MD | |
|
2200 E Washington St, Bloomington, IL 61701-4364 | |
| (309) 661-5000 | |
| (904) 346-0113 |
| Full Name | Christopher M Herman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2200 E Washington St, 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 |
|---|---|---|---|
| 1588734842 | NPI | - | NPPES |
| 0361155491 | Medicaid | IL | |
| 0361155494 | Medicaid | IL | |
| P00936469 | Other | IL | RRMCARE THRU CESIISC (GES) |
| P00347340 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036115549 (Illinois) | Primary |
| Entity Name | Mendota Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Sanburg Emergency Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992337000 PECOS PAC ID: 4688003957 Enrollment ID: O20200408000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher M Herman, MD Po Box 75478, Baltimore, MD 21275-5478 Ph: (866) 402-4367 | Christopher M Herman, MD 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 661-5000 |
Dr. Richard Sabbun, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-665-5925 | |
Matthew Oldenburg, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14880 Old Colonial Rd, Bloomington, IL 61705 Phone: 309-828-4641 | |
Sam Pittmon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Dr. David Gill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Conway Cir, Bloomington, IL 61704 Phone: 217-621-8720 | |
Thomas P Fiero, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Mr. Cedric Joshua Sanders, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Rick Anderson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1400 |