| Mrs Lucy Nelson Wisdom, MD | |
| 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 | |
| (309) 662-8813 | |
| (309) 662-6835 | 
| Full Name | Mrs Lucy Nelson Wisdom | 
|---|---|
| Gender | Female | 
| Speciality | |
| Experience | Years | 
| Location | 1404 Eastland Drive, 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 | 
|---|---|---|---|
| 1669510400 | NPI | - | NPPES | 
| 036110740 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 036110740 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Lucy Nelson Wisdom, MD 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Ph: (309) 662-8813 | Mrs Lucy Nelson Wisdom, MD 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Ph: (309) 662-8813 | 
| 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 | |
| Joanne M Larow, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 3302 Gerig Dr Ste 100, Bloomington, IL 61704 Phone: 309-533-7070 Fax: 855-710-6552 | |
| 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 |