Brian Moshier, | |
306 Saint Joseph Dr, Bloomington, IL 61701-3506 | |
(309) 663-2354 | |
Not Available |
Full Name | Brian Moshier |
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Gender | Male |
Speciality | Pediatrics |
Location | 306 Saint Joseph Dr, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699860452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036146003 (Illinois) | Primary |
Entity Name | Osf Multi-specialty Group |
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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 |
---|---|
Brian Moshier, 306 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 663-2354 | Brian Moshier, 306 Saint Joseph Dr, Bloomington, IL 61701-3506 Ph: (309) 663-2354 |
Dr. Lucas C Pogue, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-8311 Fax: 309-661-3390 | |
Dr. Aaron Reid Traeger, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7337 | |
Stephen Trainor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 302 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-664-3100 Fax: 309-664-3027 | |
Dr. Sanjay Saxena, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2427 Maloney Dr, Bloomington, IL 61704 Phone: 309-663-1011 Fax: 309-665-0825 | |
Mrs. Chalermlarp Mongkolsmai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2206 Berrywood Ln, Bloomington, IL 61704 Phone: 309-662-2032 | |
Dr. Jodie Dewey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-664-3100 Fax: 309-664-3027 | |
Dr. Andrea Michelle Kane, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7337 |