Bruce I Dodt, MD | |
500 N Wall St Ste 300, Kankakee, IL 60901-2942 | |
(815) 935-0750 | |
(815) 935-8797 |
Full Name | Bruce I Dodt |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 48 Years |
Location | 500 N Wall St Ste 300, Kankakee, 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 |
---|---|---|---|
1013059005 | NPI | - | NPPES |
036060250 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036060250 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Medical Center | Kankakee, IL | Hospital |
Presence St Marys Hospital | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Health System | 3274434717 | 152 |
Entity Name | Riverside Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Mailing Address | Practice Location Address |
---|---|
Bruce I Dodt, MD 500 N Wall St Ste 300, Kankakee, IL 60901-2942 Ph: (815) 935-0750 | Bruce I Dodt, MD 500 N Wall St Ste 300, Kankakee, IL 60901-2942 Ph: (815) 935-0750 |
Patricia L Roy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall Street, Suite 200, Kankakee, IL 60901 Phone: 815-937-1237 Fax: 815-933-0662 | |
Dr. Shital Tapan Mehta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 275 E Court St, Suite 102, Kankakee, IL 60901 Phone: 815-939-3544 Fax: 815-939-3557 | |
Ashley Noel Joyles Clark, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Khalid Naveed Arshad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B402, Kankakee, IL 60901 Phone: 815-937-1237 Fax: 815-933-0662 | |
Dr. Chase Andrew Hiller, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Kevin Chacko Varghese, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 Fax: 815-933-0662 |