| Lisa R Emm, MD | |
|
2304 Stern Dr, Bloomington, IL 61704-4406 | |
| (309) 663-0411 | |
| (309) 662-2018 |
| Full Name | Lisa R Emm |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 23 Years |
| Location | 2304 Stern Dr, 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 |
|---|---|---|---|
| 1386665966 | NPI | - | NPPES |
| 216064 | Other | IL | MEDICARE GROUP # |
| IL2613 | Other | MEDICARE GROUP # | |
| 036115642 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036-115642 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Womens Healthcare Sc | 9133379340 | 8 |
| Entity Name | Advanced Womens Healthcare Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376890426 PECOS PAC ID: 9133379340 Enrollment ID: O20121024000746 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa R Emm, MD 2304 Stern Dr, Bloomington, IL 61704-4406 Ph: (309) 663-0411 | Lisa R Emm, MD 2304 Stern Dr, Bloomington, IL 61704-4406 Ph: (309) 663-0411 |
Jay James Miller, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 107 N Regency Dr, Suite 2, Bloomington, IL 61701 Phone: 309-665-0900 Fax: 309-665-0901 | |
Sarah Dutta, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 217-383-3311 | |
Dr. Jared K Zotz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr Ste 2200, Bloomington, IL 61701 Phone: 309-454-3456 Fax: 309-454-6977 | |
Dr. Meng Y Horng, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 107 N Regency Dr, Bloomington, IL 61701 Phone: 309-663-9334 | |
Dr. Richard W Wellman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr Ste 100, Bloomington, IL 61701 Phone: 309-663-8888 Fax: 309-277-2359 | |
Sharon R Weaver, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 326 Fairway Dr, Bloomington, IL 61701 Phone: 309-451-9595 Fax: 309-451-9583 | |
Dr. Rachel Marie Hatfield Dalton, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr Ste 2200, Bloomington, IL 61701 Phone: 309-454-3456 Fax: 309-454-6977 |