| Tom Kenney, | |
|
1405 Eastland Dr, Bloomington, IL 61701-3514 | |
| (309) 661-2400 | |
| (309) 661-6226 |
| Full Name | Tom Kenney |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 1405 Eastland Dr, Bloomington, 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 |
|---|---|---|---|
| 1710070057 | NPI | - | NPPES |
| 961850 | Other | IL | MEDICARE GROUP NUMBER |
| 036073299 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073299 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Home Health-eastern Region | Normal, IL | Home health agency |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Heritage Health-bloomington | Bloomington, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| 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 |
|---|---|
| Tom Kenney, 1405 Eastland Dr, Bloomington, IL 61701-3514 Ph: (309) 661-2400 | Tom Kenney, 1405 Eastland Dr, Bloomington, IL 61701-3514 Ph: (309) 661-2400 |
Dr. Justin James Holschbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Thomas L Murphy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-661-6414 Fax: 309-661-4666 | |
Jermy Enrique Crespo Gonzalez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington Street, Bloomington, IL 61701 Phone: 309-665-5996 | |
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 | |
Mfowethu Theophilus Langeni, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Bernadette Ray, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2103 E Washington St Ste 1d, Bloomington, IL 61701 Phone: 888-240-1121 Fax: 888-240-1121 | |
Shilpa Mehta, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322 |