Dr Brian Wade Mecklenburg, MD | |
2202 Harlem Road, Suite 200, Loves Park, IL 61111-2754 | |
(815) 877-4848 | |
(815) 654-3271 |
Full Name | Dr Brian Wade Mecklenburg |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 26 Years |
Location | 2202 Harlem Road, Loves Park, 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 |
---|---|---|---|
1912047085 | NPI | - | NPPES |
036149788 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LC0200X | Anesthesiology - Critical Care Medicine | 0101102755 (Virginia) | Secondary |
207L00000X | Anesthesiology | 036.149788 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Swedish American Hospital | Rockford, IL | Hospital |
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rockford Anesthesiologists Associated Llc | 5597668004 | 51 |
Entity Name | Rockford Anesthesiologists Associated Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639128598 PECOS PAC ID: 5597668004 Enrollment ID: O20040131000052 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Wade Mecklenburg, MD 2202 Harlem Road, Suite 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 | Dr Brian Wade Mecklenburg, MD 2202 Harlem Road, Suite 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 |
Dr. Wieslaw J. Podlasek, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Road, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Dr. Vincent J. Quinlan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Gagandeep Goyal, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5504 N 2nd St, Loves Park, IL 61111 Phone: 815-977-4516 | |
Dr. Lenney G. Kizhakepunnur, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Dr. Lisa P Solomon, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Dr. Molly Mae Kelly, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd Ste 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125 | |
Dr. Nathan J Hahn, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 |