| Dr John Anthony Dustman, MD | |
|
2502 E Empire St, Bloomington, IL 61704-3738 | |
| (309) 663-6461 | |
| (309) 663-5711 |
| Full Name | Dr John Anthony Dustman |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2502 E Empire St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760498497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | (Illinois) | Primary |
| Entity Name | Orthopedic And Sports Enhancement Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003900820 PECOS PAC ID: 3375638695 Enrollment ID: O20071002000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Anthony Dustman, MD 2502 E Empire St, Bloomington, IL 61704-3738 Ph: (309) 663-6461 | Dr John Anthony Dustman, MD 2502 E Empire St, Bloomington, IL 61704-3738 Ph: (309) 663-6461 |
Dr. Judy Lee Wright, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1006 E Jefferson St, Bloomington, IL 61701 Phone: 309-828-7876 | |
Dr. Elizabeth K Plocher, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711 | |
Lucas Casey Armstrong, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711 | |
Mr. Robert K Seidl, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2406 E. Empire St., Bloomington, IL 61704 Phone: 309-663-9300 Fax: 309-661-1670 | |
Dr. Joseph Kaysing Newcomer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Lane, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-663-5711 | |
Tyler Jordan Neal, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln, Bloomington, IL 61704 Phone: 309-608-5100 | |
Brett L. Keller, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 220, Bloomington, IL 61701 Phone: 309-662-2278 Fax: 309-663-2956 |