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 | 15 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 |
Lincolnland Home Care Of Sbl | Mattoon, 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 |
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 | 669 |
Entity Name | St Anthony's Memorial Hospital |
---|---|
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 | Mid-illinois Medical Care Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922067289 PECOS PAC ID: 0446159735 Enrollment ID: O20051121000182 |
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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 206 N Pearl St, Teutopolis, IL 62467 Phone: 217-857-6481 Fax: 217-857-6094 |