| Dr Robert Edward Clark, MD | |
|
1228 Towanda Ave Ste 1, Bloomington, IL 61701-3469 | |
| (309) 454-5900 | |
| (309) 454-2820 |
| Full Name | Dr Robert Edward Clark |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 18 Years |
| Location | 1228 Towanda Ave Ste 1, 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 |
|---|---|---|---|
| 1033372727 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Warner Hospital And Health Services | Clinton, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Gastroenterology Group Llc | 5193857423 | 99 |
| Entity Name | Illinois Gastroenterology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Edward Clark, MD 1228 Towanda Ave Ste 1, Bloomington, IL 61701-3469 Ph: (309) 454-5900 | Dr Robert Edward Clark, MD 1228 Towanda Ave Ste 1, Bloomington, IL 61701-3469 Ph: (309) 454-5900 |
Dr. Venkata Ranganadh Dodda, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 | |
Mr. Kenneth Schoenig, MD Gastroenterology 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, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Paul Pedersen, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742 | |
Rajeev Varma, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1505 Eastland Dr Ste 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Nasiruddin Khokhar, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-434-3151 |