| Robin L Maniurski, MD | |
|
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
| (309) 655-2553 | |
| (309) 655-2602 |
| Full Name | Robin L Maniurski |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508977133 | NPI | - | NPPES |
| 01059253B | Other | IN | CSR |
| 200330690 | Medicaid | IN | |
| 1508977133 | Medicaid | IL | |
| 4622394 | Other | NC | BCBS |
| 01059253A | Other | IN | IN LICENSE |
| 036118190 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036118190 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 01059253A (Indiana) | Secondary |
| Entity Name | St. Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871547414 PECOS PAC ID: 8921901620 Enrollment ID: O20040129001106 |
| Entity Name | Saint James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023062312 PECOS PAC ID: 9032021258 Enrollment ID: O20080303000228 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Robin L Maniurski, MD 624 Northern Oaks Dr, Groveland, IL 61535-9607 Ph: (201) 207-3303 | Robin L Maniurski, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2553 |
Austin J Lamb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637 Phone: 309-655-7257 | |
Philip A Fifield, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Brittain Utah Ladd, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Dr. Anthony J Buecker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5500 | |
Dr. Mark Phillip Gaudio, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6710 | |
Michael M Raso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Bourland Ave, Peoria, IL 61606 Phone: 309-264-0730 | |
Joseph Devito, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave Bldg Room2620, Peoria, IL 61637 Phone: 309-655-6710 |