| Roman Fridline, | |
|
800 E Carpenter St, Springfield, IL 62769-6712 | |
| (217) 544-6464 | |
| Not Available |
| Full Name | Roman Fridline |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 800 E Carpenter St, Springfield, 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 |
|---|---|---|---|
| 1508396490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036157869 (Illinois) | Primary |
| 208600000X | Surgery | 4301113038 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 369 |
| Cepamerica Illinois Llp | 3274793633 | 449 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
| Entity Name | Blessingcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992038640 PECOS PAC ID: 2769420959 Enrollment ID: O20050419000684 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Fridline, 800 E Carpenter St, Springfield, IL 62769-1000 Ph: (217) 544-6464 | Roman Fridline, 800 E Carpenter St, Springfield, IL 62769-6712 Ph: (217) 544-6464 |
Christopher Inabnit, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Anjali Devendra Bhagat, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 19679, Springfield, IL 62794 Phone: 217-545-3518 | |
Megan Nicole Tomlin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St Ste D220, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Sumesh Jain, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-757-7465 Fax: 217-788-5591 | |
Kelly Galanos, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 Fax: 217-545-2711 | |
Dr. Shreya Lankala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62702 Phone: 217-545-3518 | |
Dr. Alexis Catherine Gazda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 |