| Eric Anthony Bloemer, MD | |
|
206 N Pearl St, Teutopolis, IL 62467-1134 | |
| (217) 857-6481 | |
| (217) 857-6094 |
| Full Name | Eric Anthony Bloemer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 206 N Pearl St, Teutopolis, 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 |
|---|---|---|---|
| 1073742664 | NPI | - | NPPES |
| 036128692 | Other | IL | ILLINOIS LICENSE |
| 336090050 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| 371391171004 | Medicaid | IL | |
| 561920 | Other | IL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036128692 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
| Hshs Hospice Southern Illinois | Effingham, IL | Hospice |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Lakeland Rehab & Healthcare Center | Effingham, IL | Nursing home |
| Evergreen Nursing & Rehab Center | Effingham, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 655 |
| Marshall Clinic Effingham S C | 1052372513 | 14 |
| Entity Name | St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306800602 PECOS PAC ID: 2365341211 Enrollment ID: O20040108000741 |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Anthony Bloemer, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Eric Anthony Bloemer, MD 206 N Pearl St, Teutopolis, IL 62467-1134 Ph: (217) 857-6481 |
Dr. Charles W. Runde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 N Pearl St, Teutopolis, IL 62467 Phone: 217-857-6481 Fax: 217-857-6094 | |
Dr. John U. Merkel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 N Pearl St, Teutopolis, IL 62467 Phone: 217-857-6481 Fax: 217-857-6094 |