| Herron Lance Gomillion, MD | |
|
601 E Rollins St, Orlando, FL 32803-1248 | |
| (407) 303-5600 | |
| (317) 705-5047 |
| Full Name | Herron Lance Gomillion |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 601 E Rollins St, Orlando, Florida |
| 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 |
|---|---|---|---|
| 1164983078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME151737 (Florida) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 83619 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Community Memorial Hospital | Menomonee falls, WI | Hospital |
| St Josephs Community Hospital West Bend | West bend, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1105 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Herron Lance Gomillion, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-2060 | Herron Lance Gomillion, MD 601 E Rollins St, Orlando, FL 32803-1248 Ph: (407) 303-5600 |
Rola Altoos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-200-2355 | |
Steven D. Beesley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 86 W Underwood St, Suite 201, 2nd Floor, Orlando, FL 32806 Phone: 321-841-5142 Fax: 407-648-3686 | |
Dr. Joseph N Foss, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-842-8475 Fax: 407-849-6470 | |
Alan M Litwin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9037 Point Cypress Dr, Orlando, FL 32836 Phone: 813-745-7365 Fax: 813-449-8618 | |
Dr. Robert C Hudak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 W Kaley St, Orlando, FL 32806 Phone: 407-423-2581 Fax: 407-849-6470 | |
Dr. Christopher T Rush, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 Fax: 317-705-5047 | |
Dr. John Franklin Hoy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13800 Veterans Way, Orlando, FL 32827 Phone: 407-631-1120 |