Dr Thomas Charles Ocheltree Jr, DMD | |
109 N Regency Dr, Bloomington, IL 61701-3515 | |
(309) 663-2526 | |
(309) 663-4788 |
Full Name | Dr Thomas Charles Ocheltree Jr |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 25 Years |
Location | 109 N Regency 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 |
---|---|---|---|
1205892973 | NPI | - | NPPES |
019025084 | Other | IL | DENTAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019025084 (Illinois) | Secondary |
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 019025084 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capodice Efaw Ocheltree And Elger Pllc | 5597713792 | 4 |
Entity Name | Capodice Efaw Ocheltree & Elger Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710985759 PECOS PAC ID: 5597713792 Enrollment ID: O20050104001014 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Charles Ocheltree Jr, DMD 109 N Regency Dr, Bloomington, IL 61701-3515 Ph: (309) 663-2526 | Dr Thomas Charles Ocheltree Jr, DMD 109 N Regency Dr, Bloomington, IL 61701-3515 Ph: (309) 663-2526 |
Dr. Michael Allen Pauley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2103 E Washington St, Suite 3, Bloomington, IL 61701 Phone: 309-662-6660 Fax: 309-664-6044 | |
Dr. Kirk William Noraian, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 105 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-663-4577 Fax: 306-663-2854 | |
Brock Gardner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 S Prospect Rd, Bloomington, IL 61704 Phone: 309-808-6263 | |
Dr. Jack Capodice Jr., MD, DMD Dentist Medicare: Accepting Medicare Assignments Practice Location: 109 N Regency Dr, Bloomington, IL 61701 Phone: 309-663-2526 Fax: 309-663-4788 | |
Johnny J Hernandez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Heartland Dr, Suite A, Bloomington, IL 61704 Phone: 309-662-0523 Fax: 309-662-7693 | |
Dr. Uzma S. Hatia, DDS Dentist Medicare: Medicare Enrolled Practice Location: 507 N Hershey Rd Ste D, Bloomington, IL 61704 Phone: 309-661-0197 Fax: 309-663-0967 | |
Dr. Bruce Woodruff Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2310 E Oakland Ave Ste 13a, Bloomington, IL 61701 Phone: 309-662-1612 Fax: 309-662-0610 |