| Roger Barrett Collins, MD | |
|
105 N Greenleaf St, Gurnee, IL 60031-3326 | |
| (847) 623-3090 | |
| (847) 623-9620 |
| Full Name | Roger Barrett Collins |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 105 N Greenleaf St, Gurnee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073504973 | NPI | - | NPPES |
| 04915144 | Other | IL | BCBS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | (Illinois) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Barrett Collins, MD 105 N Greenleaf St, Gurnee, IL 60031-3326 Ph: (847) 623-3090 | Roger Barrett Collins, MD 105 N Greenleaf St, Gurnee, IL 60031-3326 Ph: (847) 623-3090 |
Gerard Martin Goshgarian, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 105 N Greenleaf St, Gurnee, IL 60031 Phone: 847-244-4343 Fax: 847-244-8111 | |
Tomas Nemickas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 S Greenleaf St, Suite 405, Gurnee, IL 60031 Phone: 847-336-3335 | |
Bruce Summerville, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 S Greenleaf St, Suite 405, Gurnee, IL 60031 Phone: 847-336-3335 | |
John Gottfried Mayer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 105 N Greenleaf St, Gurnee, IL 60031 Phone: 847-623-3090 Fax: 847-623-9620 | |
Theodore Schoenfeldt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 S Greenleaf St Ste 405, Gurnee, IL 60031 Phone: 847-336-3335 Fax: 847-336-3249 | |
Edward Logue, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 S Greenleaf St, Suite 405, Gurnee, IL 60031 Phone: 847-336-3335 |