| Dr Ravishankar Hasanadka, MD | |
|
1000 Health Center Dr, Mattoon, IL 61938-4644 | |
| (217) 258-4049 | |
| (217) 258-4135 |
| Full Name | Dr Ravishankar Hasanadka |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 24 Years |
| Location | 1000 Health Center Dr, Mattoon, 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 |
|---|---|---|---|
| 1699858068 | NPI | - | NPPES |
| 036123015 | Medicaid | IL | |
| 500636610 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 36123015 (Illinois) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | MD154236 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Heart Of Mary Medical Center | Urbana, IL | Hospital |
| Osf Sacred Heart Medical Center | Danville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| 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 Ravishankar Hasanadka, MD Po Box 372, Mattoon, IL 61938-0372 Ph: (217) 258-2581 | Dr Ravishankar Hasanadka, MD 1000 Health Center Dr, Mattoon, IL 61938-4644 Ph: (217) 258-4049 |
Dr. Uretz John Oliphant, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 Lerna Rd S, Mattoon, IL 61938 Phone: 217-258-5900 | |
Mark Wolfe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Curtis Green, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Bradley A Wilson, MD Surgery Medicare: Medicare Enrolled Practice Location: Po Box 372, Mattoon, IL 61938 Phone: 217-258-2582 | |
Nicole Renee Hammond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 | |
Dr. Eun Ee Kim, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938 Phone: 217-258-4020 Fax: 217-258-4023 |