| George B Beranek, MD | |
|
2400 N Rockton Ave, Rockford, IL 61103-3655 | |
| (815) 971-3333 | |
| Not Available |
| Full Name | George B Beranek |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2400 N Rockton Ave, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295716330 | NPI | - | NPPES |
| 036074448 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036074448 (Illinois) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Illinois Emergency Staffing Solutions, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699915348 PECOS PAC ID: 7810044377 Enrollment ID: O20090421000050 |
| Entity Name | Hcc Region Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528237559 PECOS PAC ID: 1759453178 Enrollment ID: O20090529000084 |
| Entity Name | Genesis Medical Center, Aledo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225380967 PECOS PAC ID: 7315190436 Enrollment ID: O20130405000438 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548393184 PECOS PAC ID: 4284541806 Enrollment ID: O20141114000643 |
| Mailing Address | Practice Location Address |
|---|---|
| George B Beranek, MD 2400 N Rockton Ave, Rockford, IL 61103-3655 Ph: (815) 971-3333 | George B Beranek, MD 2400 N Rockton Ave, Rockford, IL 61103-3655 Ph: (815) 971-3333 |
Christopher M. Nielsen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 Fax: 608-826-2710 | |
Waleed Mansour, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Todd H. Chaffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Faizan Shakeel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Emergency Dept, Rockford, IL 61108 Phone: 815-226-2000 | |
Dr. Meredith Scott, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066 | |
Dr. Timothy P Coggin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 | |
John P. Rudzinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-3333 |