| Dr Eric A Ruebke, MD | |
|
201 S 14th St, Herrin, IL 62948-3631 | |
| (618) 942-2171 | |
| (618) 988-6186 |
| Full Name | Dr Eric A Ruebke |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 201 S 14th St, Herrin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467402065 | NPI | - | NPPES |
| 036106061-2 | Medicaid | IL | |
| 036106061-3 | Medicaid | IL | |
| 7100098030 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-106061 (Illinois) | Primary |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric A Ruebke, MD Po Box 1467, Indianapolis, IN 46206-1467 Ph: (681) 457-5200 | Dr Eric A Ruebke, MD 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
Levite Judah Biddle, PARAMEDIC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3224 S Park Ave, Herrin, IL 62948 Phone: 618-740-0949 | |
Dr. Alan John Wilson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Jaswant S Sidhu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Dobroslawa Reschke, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Dr. Joshua James Miksanek, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 | |
Scott Wesley Cranick, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 |