Dr Otis George Allen, MD | |
1215 Holiday Dr, Bloomington, IL 61704-2214 | |
(309) 827-3881 | |
(309) 661-0234 |
Full Name | Dr Otis George Allen |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 47 Years |
Location | 1215 Holiday Dr, 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 |
---|---|---|---|
1306847900 | NPI | - | NPPES |
036064804 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 036064804 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Bloomington, IL | Hospital |
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Entity Name | Otis Allen Md Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457629842 PECOS PAC ID: 7416110085 Enrollment ID: O20120517000352 |
Mailing Address | Practice Location Address |
---|---|
Dr Otis George Allen, MD 53 Prenzler Dr, Bloomington, IL 61704-1299 Ph: (309) 287-8049 | Dr Otis George Allen, MD 1215 Holiday Dr, Bloomington, IL 61704-2214 Ph: (309) 827-3881 |
Dr. Laura C Randolph, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Suite C, Bloomington, IL 61704 Phone: 309-664-6222 Fax: 309-664-5006 | |
Dr. Paige C. Holt, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Suite C, Bloomington, IL 61704 Phone: 309-664-4444 Fax: 309-664-5006 | |
Dr. Chad Tattini, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Suite C, Bloomington, IL 61704 Phone: 309-664-1007 Fax: 309-664-5006 |