| Dr Robert James Dodenhoff, MD | |
|
2300 N Edward St, Decatur, IL 62526-4163 | |
| (217) 876-2300 | |
| (217) 876-2725 |
| Full Name | Dr Robert James Dodenhoff |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 2300 N Edward St, Decatur, 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 |
|---|---|---|---|
| 1952358665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 36094465 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Chandler Regional Medical Center | Chandler, AZ | Hospital |
| Mercy Gilbert Medical Center | Gilbert, AZ | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imaging Consultants Of Central Illinois Sc | 6800275900 | 9 |
| Chandler Radiology Associates Llc | 4183600877 | 52 |
| Imaging Consultants Of Central Illinois Sc | 6800275900 | 9 |
| Entity Name | Decatur Radiology Physicians Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640977 PECOS PAC ID: 1658353974 Enrollment ID: O20040602000158 |
| Entity Name | Imaging Consultants Of Central Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427796838 PECOS PAC ID: 6800275900 Enrollment ID: O20220621001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert James Dodenhoff, MD 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-2300 | Dr Robert James Dodenhoff, MD 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-2300 |
Dr. Jeffrey Marc Boorstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2300 Fax: 217-876-6725 | |
Soman Nair, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2984 Fax: 217-464-1631 | |
Harold A Yoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W Mckinley Ave Ste 1, Decatur, IL 62526 Phone: 217-877-9442 Fax: 217-233-1670 | |
Mrs. Mary Anne Depaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W. Mckinley Ave, Ste 2, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Mr. Edward C Elliott Ii, MD Radiology Medicare: Medicare Enrolled Practice Location: 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Dr. Renata Charissa Moore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1990 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2900 Fax: 217-464-2909 | |
Dr. Mark A Muscato, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2300 Fax: 217-876-6725 |