| Dr Robert Judson Brewer, MD | |
|
220 S Park Ave, 3rd Floor, Herrin, IL 62948-3612 | |
| (618) 942-2002 | |
| (618) 351-6497 |
| Full Name | Dr Robert Judson Brewer |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 42 Years |
| Location | 220 S Park Ave, Herrin, 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 |
|---|---|---|---|
| 1457355315 | NPI | - | NPPES |
| 7210895 | Other | IL | AETNA |
| 036117928 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
| 654532 | Other | IL | HEALTHLINK |
| 133018 | Other | IL | HEALTH ALLIANCE |
| 319226 | Other | IL | GHP |
| 64234990 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 23499 (Kentucky) | Secondary |
| 208600000X | Surgery | 036117928 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harlan Arh Hospital | Harlan, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appalachian Regional Healthcare Inc | 0840107835 | 230 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871189019 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Judson Brewer, MD Po Box 1105, Indianapolis, IN 46206-1105 Ph: (618) 549-5361 | Dr Robert Judson Brewer, MD 220 S Park Ave, 3rd Floor, Herrin, IL 62948-3612 Ph: (618) 942-2002 |
Ellie Marie Bentley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Kristina Marie Potanos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Dr. Cyril Kamya, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 | |
Medha Suwanawongse, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 N 13th St, Herrin, IL 62948 Phone: 618-988-6025 Fax: 618-988-6024 | |
Anne Hardy-henry, Surgery Medicare: Medicare Enrolled Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-351-6491 | |
Antoni J Kos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3307 Logan Dr Ste B, Herrin, IL 62948 Phone: 618-997-3461 Fax: 618-993-6042 |