Dr Mariano Villalon Tolentino Jr, MD | |
1701 E College Ave, Bloomington, IL 61704-2101 | |
(309) 664-3000 | |
(309) 664-3026 |
Full Name | Dr Mariano Villalon Tolentino Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 45 Years |
Location | 1701 E College Ave, Bloomington, 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 |
---|---|---|---|
1356315626 | NPI | - | NPPES |
018416 | Other | IL | HEALTH ALLIANCE |
036075928 | Medicaid | IL | |
364121826 | Other | IL | JOHN DEERE |
005007705 | Other | IL | BC/BS |
340013998 | Other | IL | RAILROAD MEDICARE |
0080670003 | Other | IL | DME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036075928 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Abraham Lincoln Memorial Hospital | Lincoln, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Saint James Hospital | Pontiac, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Dr Mariano Villalon Tolentino Jr, MD 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 664-3000 | Dr Mariano Villalon Tolentino Jr, MD 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 664-3000 |
Dr. Benjamin J Leak, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 Eastland Dr, Suite B, Bloomington, IL 61701 Phone: 309-663-9424 Fax: 309-663-6350 | |
Dr. Scott Christopher Morgan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 | |
Dr. Thomas B Kulb, M.D., Urology Medicare: Not Enrolled in Medicare Practice Location: 1401 Eastland Dr, Suite B, Bloomington, IL 61701 Phone: 309-663-9424 Fax: 309-663-6350 | |
Dr. Vicken S Chalian, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1401 Eastland Dr, Suite B, Bloomington, IL 61701 Phone: 309-663-9424 Fax: 309-663-6350 |