Charles C Dumontier, MD | |
180 South Third Street, Suite 101, Belleville, IL 62220 | |
(618) 235-0651 | |
(618) 235-9722 |
Full Name | Charles C Dumontier |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 180 South Third Street, Belleville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215981519 | NPI | - | NPPES |
L95013 | Other | MEDICARE PIN | |
141550 | Other | HEALTHLINK | |
36066819 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036066819 (Illinois) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | R9A58 (Missouri) | Secondary |
Entity Name | Touchette Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019926 PECOS PAC ID: 7416843370 Enrollment ID: O20040226000538 |
Mailing Address | Practice Location Address |
---|---|
Charles C Dumontier, MD 301 West Lincoln Street, Suite 104, Belleville, IL 62220 Ph: (618) 235-0955 | Charles C Dumontier, MD 180 South Third Street, Suite 101, Belleville, IL 62220 Ph: (618) 235-0651 |
Robert Barton Bridges, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 34 Powder Valley Dr, Belleville, IL 62223 Phone: 618-580-3750 Fax: 618-397-5494 | |
Gregory P Holdener, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 West Lincoln Street, Suite 104, Belleville, IL 62220 Phone: 618-235-0955 Fax: 618-235-9203 | |
Terrence A Tyrrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 180 South Third Street, Suite 101, Belleville, IL 62220 Phone: 618-235-0651 Fax: 618-235-9722 | |
Dean David Hageman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1416 Prairie Ave, Belleville, IL 62220 Phone: 618-235-5998 | |
Dr. Naveen C. Saini, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 West Lincoln Street, Suite 104, Belleville, IL 62220 Phone: 618-235-0955 Fax: 618-235-9203 | |
Paul M Schroeder, MD Radiology Medicare: Medicare Enrolled Practice Location: 301 West Lincoln Street, Suite 104, Belleville, IL 62220 Phone: 618-235-0955 Fax: 618-235-9203 |