| Diane Helen Zug, MD | |
|
6830 Villagreen Vw, Rockford, IL 61107-5639 | |
| (815) 282-1339 | |
| (815) 282-1298 |
| Full Name | Diane Helen Zug |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 6830 Villagreen Vw, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578596227 | NPI | - | NPPES |
| P00434019 | Other | IL | RR MEDICARE PTAN NUMBER |
| CC5050 | Other | IL | RR MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckee Medical Center | Loveland, CO | Hospital |
| Banner Fort Collins Medical Center | Fort collins, CO | Hospital |
| North Colorado Medical Center | Greeley, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Health Physicians Colorado Llc | 8921273038 | 267 |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Entity Name | Banner Hospital Based Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154679637 PECOS PAC ID: 6800031386 Enrollment ID: O20130404000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Helen Zug, MD 6830 Villagreen Vw, Rockford, IL 61107-5639 Ph: (815) 282-1339 | Diane Helen Zug, MD 6830 Villagreen Vw, Rockford, IL 61107-5639 Ph: (815) 282-1339 |
Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300 | |
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 | |
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807 | |
Dr. Arpana Broor Mathur, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107 Phone: 815-399-4404 Fax: 815-484-7091 | |
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600 | |
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000 |