Dr Rhoda Jean Gottfried, MD | |
3024 E Empire St, 2nd Floor Suite A, Bloomington, IL 61704-5402 | |
(309) 556-7800 | |
(309) 556-7804 |
Full Name | Dr Rhoda Jean Gottfried |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 3024 E Empire St, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922212638 | NPI | - | NPPES |
036482700 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036.131825 (Illinois) | Primary |
Entity Name | Tidalhealth Peninsula Regional, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184832040 PECOS PAC ID: 3072509702 Enrollment ID: O20040420001571 |
Mailing Address | Practice Location Address |
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Dr Rhoda Jean Gottfried, MD 3024 E Empire St, 2nd Floor Suite A, Bloomington, IL 61704-5402 Ph: (309) 556-7800 | Dr Rhoda Jean Gottfried, MD 3024 E Empire St, 2nd Floor Suite A, Bloomington, IL 61704-5402 Ph: (309) 556-7800 |
Edward W Pegg Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2204 Eastland Dr, Bloomington, IL 61704 Phone: 309-661-6900 | |
Asifa Choudhry, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Fl 2, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 | |
Barry Jay Riskin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Bloomington, IL 61704 Phone: 309-385-7010 | |
Dr. Gil B Abelita, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Brian Compton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7500 Fax: 309-556-7804 | |
Barbara Luann Weis, FNP BC Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-661-5050 |