| Dr Robert C Prentice, DO | |
|
13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | |
| (708) 274-3278 | |
| (708) 274-3299 |
| Full Name | Dr Robert C Prentice |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 43 Years |
| Location | 13011 S 104th Ave Ste 100, Palos Park, 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 |
|---|---|---|---|
| 1194789354 | NPI | - | NPPES |
| 036067066 | Medicaid | IL | |
| 236551 | Other | IL | MEDICARE GROUP |
| 236550 | Other | IL | MEDICARE GROUP |
| 01621208 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1508810086 | Other | IL | GROUP NPI |
| 060042297 | Other | IL | RAILROAD MEDICARE COOK |
| 060056572 | Other | IL | RAILROAD MEDICARE WILL |
| CD8033 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| CN2703 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036067066 (Illinois) | Primary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 036067066 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palos Community Hospital | Palos heights, IL | Hospital |
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heart Care Centers Of Illinois, S.c. | 6103738810 | 35 |
| Entity Name | Heart Care Centers Of Illinois, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508810086 PECOS PAC ID: 6103738810 Enrollment ID: O20031103000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert C Prentice, DO 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (708) 478-3600 | Dr Robert C Prentice, DO 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (708) 274-3278 |
Dr. Robert A Iaffaldano, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-274-3299 | |
Noel Camba, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-478-3600 Fax: 708-478-3522 | |
Dr. Julia Caitlin Espel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 Phone: 708-274-4900 Fax: 708-274-4949 | |
Dr. Tabassum Hanif, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11900 Southwest Hwy, Palos Park, IL 60464 Phone: 708-274-4900 Fax: 708-274-4949 | |
Dr. Craig H Adams, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 11900 Southwest Hwy, Palos Park, IL 60464 Phone: 708-274-4900 Fax: 708-274-4949 | |
Michael J. Porter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-478-3299 |