| Robert (bruce) B Wellman, MD | |
|
611 W. Park St, Urbana, IL 61801-2500 | |
| (217) 383-3342 | |
| (217) 383-4260 |
| Full Name | Robert (bruce) B Wellman |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 51 Years |
| Location | 611 W. Park St, Urbana, 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 |
|---|---|---|---|
| 1104929405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036062748 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Carle Hoopeston Regional Health Center | Hoopeston, IL | Hospital |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoopeston Community Memorial Hospital | 3577456037 | 120 |
| Carle Health Care Incorporated | 3577515774 | 912 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert (bruce) B Wellman, MD 611 W. Park St, Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6941 | Robert (bruce) B Wellman, MD 611 W. Park St, Urbana, IL 61801-2500 Ph: (217) 383-3342 |
Dr. Kristina Gvozdjan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3342 | |
Farah S Gaudier, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 602 W University Avenue, Pathology Lab, Urbana, IL 61801 Phone: 217-383-3342 Fax: 217-383-4260 | |
Dr. Sandhya D. Sarwate, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2110 Meadowlark Ct, Urbana, IL 61802 Phone: 217-344-3517 | |
Ikechukwu L Uzoaru, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Pathology Lab, Urbana, IL 61801 Phone: 217-383-3342 Fax: 217-383-4260 | |
Dr. Nicole R Howell, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Pathology Lab, Urbana, IL 61801 Phone: 217-383-3342 Fax: 217-383-4260 | |
Frank J Bellafiore, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-363-3342 Fax: 217-383-4260 |