| Laurent Brard, MD, PHD | |
|
415 N 9th St, Ste 6w70, Springfield, IL 62702-5303 | |
| (217) 545-8882 | |
| (217) 545-7958 |
| Full Name | Laurent Brard |
|---|---|
| Gender | Male |
| Speciality | Gynecological Oncology |
| Experience | 27 Years |
| Location | 415 N 9th St, Springfield, 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 |
|---|---|---|---|
| 1346278041 | NPI | - | NPPES |
| 036127342 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 036127342 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Springfield, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siu Physicians And Surgeons Inc | 2365352820 | 290 |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurent Brard, MD, PHD Po Box 19640, Springfield, IL 62794-9640 Ph: (217) 545-8000 | Laurent Brard, MD, PHD 415 N 9th St, Ste 6w70, Springfield, IL 62702-5303 Ph: (217) 545-8882 |
Robert Marc Abrams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, 6w100, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 | |
Jillian Henry, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St, 2nd Floor, Springfield, IL 62702 Phone: 217-757-7932 Fax: 217-757-7920 | |
Grace Welp, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7958 | |
Dr. Sara Beth Rubenacker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 | |
Dustin Stehling, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 | |
Nora Taylor Maczura, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-535-3665 | |
Dr. Elizabeth Ramsey Unal, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 415 N 9th St, Ste 6w100, Springfield, IL 62702 Phone: 217-545-5117 Fax: 217-545-4912 |