| Dr Lucas C Pogue, MD | |
|
1401 Eastland Dr, Bloomington, IL 61701-3552 | |
| (309) 663-8311 | |
| (309) 661-3390 |
| Full Name | Dr Lucas C Pogue |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 1401 Eastland Dr, Bloomington, 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 |
|---|---|---|---|
| 1033195847 | NPI | - | NPPES |
| 036103017 | Medicaid | IL | |
| 5715384 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036103017 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036103017 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christie Clinic, Pllc | 7719899319 | 210 |
| Entity Name | Christie Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucas C Pogue, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (309) 663-8311 | Dr Lucas C Pogue, MD 1401 Eastland Dr, Bloomington, IL 61701-3552 Ph: (309) 663-8311 |
Dr. Venkata Ranganadh Dodda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 | |
Mr. Kenneth Schoenig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Dr. Robert Edward Clark, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Kenneth H. Inoue, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Paul Pedersen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742 | |
Rajeev Varma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1505 Eastland Dr Ste 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Nasiruddin Khokhar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-434-3151 |