| Dr Benjamin Robert Coleman, MD | |
|
1800 E Lake Shore Dr, Department Of Pathology, Decatur, IL 62521-3810 | |
| (217) 464-2060 | |
| Not Available |
| Full Name | Dr Benjamin Robert Coleman |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 23 Years |
| Location | 1800 E Lake Shore Dr, Decatur, 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 |
|---|---|---|---|
| 1811036312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01061533A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Warner Hospital And Health Services | Clinton, IL | Hospital |
| Advocate Eureka Hospital | Eureka, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| K M B S C | 1951365303 | 3 |
| Entity Name | K M B S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902867997 PECOS PAC ID: 1951365303 Enrollment ID: O20041116000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Robert Coleman, MD 6465 Birchwood Lane, Decatur, IL 62521 Ph: () - | Dr Benjamin Robert Coleman, MD 1800 E Lake Shore Dr, Department Of Pathology, Decatur, IL 62521-3810 Ph: (217) 464-2060 |
Dr. Michael Choi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2017 | |
Dr. Jonathan B Vasquez, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Mark C Clarke, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-5023 Fax: 217-876-5013 | |
Sue A Strayer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Drive, St Marys-decatur, Decatur, IL 62521 Phone: 217-464-2966 Fax: 217-464-3193 | |
Alan F Frigy, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 Fax: 217-464-3193 | |
Michael Andrew Sass, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur Memorial Hospital, Decatur, IL 62526 Phone: 217-876-5011 Fax: 217-876-5013 | |
Dr. Cindy Mei Chy Hsieh, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1800 E. Lake Shore Drive, Decatur, IL 62521 Phone: 217-464-2966 |