| Rick S Cernovich, MD | |
|
530 Park Ave E, Princeton, IL 61356 | |
| (815) 875-2811 | |
| Not Available |
| Full Name | Rick S Cernovich |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 530 Park Ave E, Princeton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508824723 | NPI | - | NPPES |
| 0360716813 | Medicaid | IL | |
| 036071681 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036071681 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036071681 (Illinois) | Primary |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| 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 |
|---|---|
| Rick S Cernovich, MD 113 S Main St, Sheffield, IL 61361-9752 Ph: (815) 454-2811 | Rick S Cernovich, MD 530 Park Ave E, Princeton, IL 61356 Ph: (815) 875-2811 |
Christopher Thomas Blanford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118 | |
Manuel R Ascano Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118 | |
Robert E Mestan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 | |
Miss Robin L Rose, APRN, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 |