Dr Robert Charles Porter, MD | |
605 Fulton Ave, Suite 2002, Rockford, IL 61103-4179 | |
(815) 964-6334 | |
(815) 964-1162 |
Full Name | Dr Robert Charles Porter |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 605 Fulton Ave, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871621144 | NPI | - | NPPES |
036054450 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036054450 (Illinois) | Primary |
Entity Name | The Porter Medical Group P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790395002 PECOS PAC ID: 3274066865 Enrollment ID: O20241105000740 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Charles Porter, MD 605 Fulton Ave, Suite 2002, Rockford, IL 61103-4179 Ph: (815) 964-6334 | Dr Robert Charles Porter, MD 605 Fulton Ave, Suite 2002, Rockford, IL 61103-4179 Ph: (815) 964-6334 |
Christopher M. Nielsen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 Fax: 608-826-2710 | |
Waleed Mansour, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Todd H. Chaffin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Faizan Shakeel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Emergency Dept, Rockford, IL 61108 Phone: 815-226-2000 | |
Dr. Meredith Scott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066 | |
Charles D Washington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5666 East State St, Rockford, IL 61108 Phone: 815-226-2000 Fax: 815-381-7582 | |
Dr. Timothy P Coggin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 East State Street, Rockford, IL 61108 Phone: 815-226-2000 |