| Douglas Anthony Kruse, MD | |
|
4500 Memorial Dr, Belleville, IL 62226-5360 | |
| (618) 257-6220 | |
| Not Available |
| Full Name | Douglas Anthony Kruse |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 31 Years |
| Location | 4500 Memorial Dr, Belleville, 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 |
|---|---|---|---|
| 1194830661 | NPI | - | NPPES |
| 036-098255 | Medicaid | IL | |
| 100888 | Other | IL | GROUP HEALTH PLAN |
| 01427671 | Other | IL | IL BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036098255 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036-098255 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carlinville Area Hospital | Carlinville, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Macoupin Physician Services, Pc | 7416345947 | 10 |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932275641 PECOS PAC ID: 9032021373 Enrollment ID: O20031104000520 |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Entity Name | Macoupin Physician Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013686302 PECOS PAC ID: 7416345947 Enrollment ID: O20211102001556 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Anthony Kruse, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220 | Douglas Anthony Kruse, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-6220 |
Wallace K Abel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220 Phone: 618-234-2566 Fax: 618-234-5650 | |
Dr. Shannon Erin Witty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220 Phone: 618-233-7880 | |
Naveen Kumar Reddy Bondalapati, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-3066 Fax: 618-257-6679 | |
David J Nyquist, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679 | |
Niraj J Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7000 | |
Brett Allen Nance, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220 Phone: 618-233-7880 Fax: 618-222-4792 | |
Farah Sharieh, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr Ste 400, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 |