Vijay Laxmi Misra, MD | |
1302 Franklin Ave Ste 4800, Normal, IL 61761-3595 | |
(309) 454-5900 | |
(309) 454-2820 |
Full Name | Vijay Laxmi Misra |
---|---|
Gender | Female |
Speciality | Gastroenterology |
Experience | 25 Years |
Location | 1302 Franklin Ave Ste 4800, Normal, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164475877 | NPI | - | NPPES |
036126566 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036126566 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Advocate Eureka Hospital | Eureka, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Gastroenterology Group Llc | 5193857423 | 119 |
Entity Name | Digestive Disease Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306874102 PECOS PAC ID: 0143216630 Enrollment ID: O20040427000536 |
Entity Name | Illinois Gastroenterology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
Mailing Address | Practice Location Address |
---|---|
Vijay Laxmi Misra, MD 1302 Franklin Ave Ste 4800, Normal, IL 61761-3595 Ph: (309) 454-5900 | Vijay Laxmi Misra, MD 1302 Franklin Ave Ste 4800, Normal, IL 61761-3595 Ph: (309) 454-5900 |
Dr. Ali Raza Ghani, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761 Phone: 309-556-8300 | |
Dr. Thanom Temiyasathit, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Mr. Kenneth Schoenig, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 | |
Beth L Tumilty, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Dr. Robert Edward Clark, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Suite 4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 | |
Piotr Pawel Krolikowski, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Dr. Chae Chu, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761 Phone: 309-662-9631 Fax: 309-662-4706 |