Dr Robert James Dodenhoff, MD | |
2300 N Edward St, Decatur, IL 62526-4163 | |
(217) 876-2300 | |
(217) 876-2725 |
Full Name | Dr Robert James Dodenhoff |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 2300 N Edward St, Decatur, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952358665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 36094465 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Decatur Memorial Hospital | Decatur, IL | Hospital |
Chandler Regional Medical Center | Chandler, AZ | Hospital |
Mercy Gilbert Medical Center | Gilbert, AZ | Hospital |
St Marys Hospital | Decatur, IL | Hospital |
Taylorville Memorial Hospital | Taylorville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imaging Consultants Of Central Illinois Sc | 6800275900 | 9 |
Chandler Radiology Associates Llc | 4183600877 | 39 |
Imaging Consultants Of Central Illinois Sc | 6800275900 | 9 |
Entity Name | Decatur Radiology Physicians Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881640977 PECOS PAC ID: 1658353974 Enrollment ID: O20040602000158 |
Entity Name | Imaging Consultants Of Central Illinois Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427796838 PECOS PAC ID: 6800275900 Enrollment ID: O20220621001058 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert James Dodenhoff, MD 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-2300 | Dr Robert James Dodenhoff, MD 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-2300 |
Dr. Jeffrey Marc Boorstein, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2300 Fax: 217-876-6725 | |
Soman Nair, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2984 Fax: 217-464-1631 | |
Harold A Yoon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W Mckinley Ave Ste 1, Decatur, IL 62526 Phone: 217-877-9442 Fax: 217-233-1670 | |
Mrs. Mary Anne Depaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W. Mckinley Ave, Ste 2, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Mr. Edward C Elliott Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Dr. Renata Charissa Moore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1990 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2900 Fax: 217-464-2909 | |
Dr. Mark A Muscato, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2300 Fax: 217-876-6725 |