| Dr Mark Stivers, MD | |
|
207 E Hamilton Rd, Bloomington, IL 61704-7527 | |
| (309) 827-4090 | |
| Not Available |
| Full Name | Dr Mark Stivers |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 207 E Hamilton Rd, 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 |
|---|---|---|---|
| 1417943523 | NPI | - | NPPES |
| 866220 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036.141995 (Illinois) | Primary |
| 208M00000X | Hospitalist | 036.141995 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 132 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Pekin Prohealth Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Stivers, MD 207 E Hamilton Rd, Bloomington, IL 61704-7527 Ph: (309) 827-4090 | Dr Mark Stivers, MD 207 E Hamilton Rd, Bloomington, IL 61704-7527 Ph: (309) 827-4090 |
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 |