Dr Randall James Brenneman, MD | |
701 North 1st Street Radiation Oncology, Springfield, IL 62781-1032 | |
(217) 528-7541 | |
(314) 747-9557 |
Full Name | Dr Randall James Brenneman |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 8 Years |
Location | 701 North 1st Street Radiation Oncology, Springfield, 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 |
---|---|---|---|
1366899841 | NPI | - | NPPES |
200061655 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 2021019467 (Missouri) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 036156598 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Colorado Medical Center | Greeley, CO | Hospital |
Mckee Medical Center | Loveland, CO | Hospital |
Sterling Regional Medcenter | Sterling, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quincy Physicians And Surgeons Clinic, Pllc | 0749192375 | 199 |
Banner Hospital Based Physicians Colorado Llc | 6800031386 | 74 |
Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
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 |
Entity Name | Washington University Physicians In Illinois, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477076263 PECOS PAC ID: 4789945163 Enrollment ID: O20180227002018 |
Mailing Address | Practice Location Address |
---|---|
Dr Randall James Brenneman, MD 4921 Parkview Pl, Dept Radiation Oncology, Ll, Saint Louis, MO 63110-1032 Ph: (314) 747-7236 | Dr Randall James Brenneman, MD 701 North 1st Street Radiation Oncology, Springfield, IL 62781-1032 Ph: (217) 528-7541 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |