Dr Blake Conley Rodgers, MD | |
1414 Cross St Ste 230, Shiloh, IL 62269-2988 | |
(618) 607-1260 | |
(618) 624-4856 |
Full Name | Dr Blake Conley Rodgers |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 18 Years |
Location | 1414 Cross St Ste 230, Shiloh, 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 |
---|---|---|---|
1366501140 | NPI | - | NPPES |
27273 | Other | NE | NE STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27273 (Nebraska) | Secondary |
207Q00000X | Family Medicine | 036.122904 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | St. Elizabeth's Hospital Of The Hospital Sisters Of The Third Order Of |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194736728 PECOS PAC ID: 6406753011 Enrollment ID: O20031212000629 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Blake Conley Rodgers, MD 1414 Cross St Ste 230, Shiloh, IL 62269-2988 Ph: (618) 607-1260 | Dr Blake Conley Rodgers, MD 1414 Cross St Ste 230, Shiloh, IL 62269-2988 Ph: (618) 607-1260 |
Robert W Garner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
James M Hitchcock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269 Phone: 618-607-1260 | |
Ms. Lisa Rene Reno, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 210, Shiloh, IL 62269 Phone: 618-607-1260 Fax: 618-624-4865 | |
Dr. Lowell Grey Sensintaffar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1116 Hartman Ln, Shiloh, IL 62221 Phone: 618-641-9011 Fax: 618-641-9017 | |
Dr. Suzanne Depaulo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1190 Fortune Blvd, Shiloh, IL 62269 Phone: 314-286-6988 | |
Dr. David L Mitchell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 Country Rd, Shiloh, IL 62221 Phone: 618-277-3197 |