| Mr Robert M Bandera, MD | |
|
1301 S. Kiwanis Dr., Freeport, IL 61032 | |
| (815) 235-1406 | |
| (815) 732-3718 |
| Full Name | Mr Robert M Bandera |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1301 S. Kiwanis Dr., Freeport, 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 |
|---|---|---|---|
| 1134199458 | NPI | - | NPPES |
| 036106029 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-106029 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fhn Hospice | Freeport, IL | Hospice |
| The Monroe Clinic | Monroe, WI | Hospital |
| Fhn Memorial Hospital | Freeport, IL | Hospital |
| Lena Living Center | Lena, IL | Nursing home |
| Manor Court Of Freeport | Freeport, IL | Nursing home |
| Stephenson Nursing Center | Freeport, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Monroe Clinic, Inc. | 3072425495 | 169 |
| The Monroe Clinic, Inc. | 3072425495 | 169 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831254036 PECOS PAC ID: 3072425495 Enrollment ID: O20040112000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert M Bandera, MD 515 22nd Ave, Monroe, WI 53566-1569 Ph: (815) 732-3151 | Mr Robert M Bandera, MD 1301 S. Kiwanis Dr., Freeport, IL 61032 Ph: (815) 235-1406 |
Maajid Mohammed Yunus Ekkiswala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1045 W Stephenson St, Freeport, IL 61032 Phone: 815-599-6000 | |
Terry L Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Highland View Dr, Freeport, IL 61032 Phone: 815-235-3165 | |
Jeffrey P Schleich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7170 Fax: 815-599-7177 | |
Dr. Stephen Welch, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3002 Wheatland Ter, Freeport, IL 61032 Phone: 815-235-3911 | |
Kathleen Marie Ehlbeck Coe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Highland View Dr, Freeport, IL 61032 Phone: 815-235-3165 | |
Dr. Katherine A Diemer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-1406 |