| Dr Blake Conley Rodgers, MD | |
|
1414 Cross St Ste 230, Shiloh, IL 62269-2988 | |
| (618) 607-1260 | |
| (618) 624-4856 |
| Full Name | Dr Blake Conley Rodgers |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1414 Cross St Ste 230, Shiloh, 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 |
|---|---|---|---|
| 1366501140 | NPI | - | NPPES |
| 27273 | Other | NE | NE STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27273 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 036.122904 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | O fallon, IL | Home health agency |
| Memorial Hospital | Belleville, IL | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| Entity Name | St Elizabeths Hospital Of The Hospital Sisters Of The Third Order |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194736728 PECOS PAC ID: 6406753011 Enrollment ID: O20031212000629 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Conley Rodgers, MD 1414 Cross St Ste 230, Shiloh, IL 62269-2988 Ph: (618) 607-1260 | Dr Blake Conley Rodgers, MD 1414 Cross St Ste 230, Shiloh, IL 62269-2988 Ph: (618) 607-1260 |
Robert W Garner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
James M Hitchcock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
Ms. Lisa Rene Reno, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 210, Shiloh, IL 62269 Phone: 618-607-1260 Fax: 618-624-4865 | |
Dr. Lowell Grey Sensintaffar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1116 Hartman Ln, Shiloh, IL 62221 Phone: 618-641-9011 Fax: 618-641-9017 | |
Dr. Suzanne Depaulo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1190 Fortune Blvd, Shiloh, IL 62269 Phone: 314-286-6988 | |
Dr. David L Mitchell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 Country Rd, Shiloh, IL 62221 Phone: 618-277-3197 |