| Joanne M Larow, DO | |
|
3302 Gerig Dr Ste 100, Bloomington, IL 61704-6343 | |
| (309) 533-7070 | |
| (855) 710-6552 |
| Full Name | Joanne M Larow |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 31 Years |
| Location | 3302 Gerig Dr Ste 100, Bloomington, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538230990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 036152444 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Skin Cancer Center | 2668821919 | 4 |
| Entity Name | Dermatology And Skin Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093596652 PECOS PAC ID: 2668821919 Enrollment ID: O20231212001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne M Larow, DO 3302 Gerig Dr Ste 100, Bloomington, IL 61704-6343 Ph: (309) 533-7070 | Joanne M Larow, DO 3302 Gerig Dr Ste 100, Bloomington, IL 61704-6343 Ph: (309) 533-7070 |
Michael Thomas Ginnetti, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701 Phone: 309-660-8442 | |
Kent S. Taulbee, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2418 E Lincoln St, Bloomington, IL 61701 Phone: 309-663-6386 Fax: 309-662-7622 | |
Mr. Rajagopala Swaminathan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3024 E Empire St Ste Eandf, Bloomington, IL 61704 Phone: 309-451-3376 Fax: 309-452-3376 | |
Mr. Thomas Richard Brander, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835 | |
Mr. James Richard Seehafer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835 | |
Mrs. Lucy Nelson Wisdom, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835 |