Dr Ajeet D Gordhan, MD | |
2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 | |
(309) 452-1788 | |
(309) 862-1302 |
Full Name | Dr Ajeet D Gordhan |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 2200 Fort Jesse Rd, Normal, 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 |
---|---|---|---|
1306892369 | NPI | - | NPPES |
036110222*1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | 36110222 (Illinois) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 36110222 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Carle West Physician Group Inc | 8921420308 | 283 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Dr Ajeet D Gordhan, MD 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 Ph: (309) 452-1788 | Dr Ajeet D Gordhan, MD 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 Ph: (309) 452-1788 |
Dr. Daniel L Ha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. Ajay R Malpani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Patrick S Fernandes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 407 E Vernon Ave, Normal, IL 61761 Phone: 309-451-2231 Fax: 309-451-2299 | |
Dr. Carlos P Capati, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. David Koch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Amit Vyas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761 Phone: 730-945-2178 Fax: 309-862-1302 | |
Nicholas Florence, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |