| Renuka Bhaskar, MD | |
|
105 Krispy Kreme Dr, Ste 4, Bloomington, IL 61704-3751 | |
| (309) 585-2837 | |
| Not Available |
| Full Name | Renuka Bhaskar |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 36 Years |
| Location | 105 Krispy Kreme 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 |
|---|---|---|---|
| 1235163056 | NPI | - | NPPES |
| 1942501978 | Other | IL | BLUECROSSBLUE SHIELD O |
| 1467751156 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 036-107260 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Group, Llc | 5991989477 | 10 |
| Entity Name | Premier Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942501978 PECOS PAC ID: 5991989477 Enrollment ID: O20110407000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Renuka Bhaskar, MD 2200 Jacobssen Dr Ste B, Normal, IL 61761-5516 Ph: (309) 451-1123 | Renuka Bhaskar, MD 105 Krispy Kreme Dr, Ste 4, Bloomington, IL 61704-3751 Ph: (309) 585-2837 |
Lawrence Kohaus, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-663-2237 | |
Dr. John Scott Denton, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2708 Piney Run, Bloomington, IL 61705 Phone: 309-830-3483 Fax: 708-469-2536 | |
Louis Boelen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-663-2237 | |
Chinbang Li, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-663-2237 | |
Rejeana Mullins, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 27 Pebblebrook Ct, Bloomington, IL 61705 Phone: 309-820-8767 | |
Larry W Joyce, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-663-2237 |