| Dr Michael Puruckherr, MD | |
|
1340 Charles St Ste 405, Rockford, IL 61104-2200 | |
| (779) 696-6102 | |
| Not Available |
| Full Name | Dr Michael Puruckherr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 1340 Charles St Ste 405, Rockford, 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 |
|---|---|---|---|
| 1487684353 | NPI | - | NPPES |
| 200104425 | Medicaid | MO | |
| AB32999 | Other | WA | MEDICARE GROUP |
| 1120898 | Medicaid | WA | |
| 7047629 | Medicaid | WA | |
| 036161516 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish American Hospital | Rockford, IL | Hospital |
| Cgh Medical Center | Sterling, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morrison Community Hospital District | 2466349907 | 32 |
| Swedishamerican Hospital | 5799698346 | 332 |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700907250 PECOS PAC ID: 2466349907 Enrollment ID: O20040301000685 |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Puruckherr, MD 700 Ne 87th Ave, Vancouver, WA 98664-1913 Ph: () - | Dr Michael Puruckherr, MD 1340 Charles St Ste 405, Rockford, IL 61104-2200 Ph: (779) 696-6102 |
Dr. Adekola Abioudun Ashaye, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Prasad K. Kilaru, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
David R. Mitchell, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Dr. Amrutha Mary George, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 | |
Rajyalaxmi Mullapudi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Geoffrey Tsaras, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104 Phone: 779-696-1890 Fax: 779-696-2410 | |
Ashley Annly Liou, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 535 Roxbury Rd, Rockford, IL 61107 Phone: 815-397-7212 Fax: 815-397-2539 |