| Robert J Killian, MD | |
|
400 N Pleasant Ave, Radiology Dept, Centralia, IL 62801-3056 | |
| (618) 436-8000 | |
| Not Available |
| Full Name | Robert J Killian |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 400 N Pleasant Ave, Centralia, 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 |
|---|---|---|---|
| 1679632970 | NPI | - | NPPES |
| 036084846-1 | Medicaid | IL | |
| P00357284 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036084846 (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 295590 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Lawnwood Hospital | Fort pierce, FL | Hospital |
| Hca Florida Fawcett Hospital | Port charlotte, FL | Hospital |
| Hca Florida Jfk Hospital | Atlantis, FL | Hospital |
| Hca Florida Gulf Coast Hospital | Panama city, FL | Hospital |
| Hca Florida Fort Walton-destin Hospital | Fort walton beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Radiology Physician Solutions Of West Florida Llc | 3577876218 | 62 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Eastpointe Radiologists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642056 PECOS PAC ID: 7618876327 Enrollment ID: O20150608000533 |
| Entity Name | Radiology Physician Solutions of West Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20150723008463 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Killian, MD Po Box 66971, Mid America Radiology Sc, Saint Louis, MO 63166-6971 Ph: (303) 465-0401 | Robert J Killian, MD 400 N Pleasant Ave, Radiology Dept, Centralia, IL 62801-3056 Ph: (618) 436-8000 |
Dr. Bradley C Stufflebam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 629 Sable Dr, Centralia, IL 62801 Phone: 618-533-0727 |