| Kenneth Carpenter, MD | |
|
2200 E Washington St, Bloomington, IL 61701-4364 | |
| (309) 662-3311 | |
| Not Available |
| Full Name | Kenneth Carpenter |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2200 E Washington St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689723918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Pekin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245355411 PECOS PAC ID: 4789676438 Enrollment ID: O20040401000798 |
| Entity Name | Mason Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1871919381 PECOS PAC ID: 4284541806 Enrollment ID: O20140425000229 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Epss Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Carpenter, MD Po Box 758682, Baltimore, MD 21275-0001 Ph: () - | Kenneth Carpenter, MD 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 662-3311 |
Dr. Richard Sabbun, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-665-5925 | |
Matthew Oldenburg, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14880 Old Colonial Rd, Bloomington, IL 61705 Phone: 309-828-4641 | |
Sam Pittmon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Dr. David Gill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24 Conway Cir, Bloomington, IL 61704 Phone: 217-621-8720 | |
Thomas P Fiero, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Mr. Cedric Joshua Sanders, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Rick Anderson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1400 |