Kenneth Wayne Birge Jr, MD | |
2502 E Empire St, Bloomington, IL 61704-3738 | |
(309) 300-1031 | |
Not Available |
Full Name | Kenneth Wayne Birge Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 2502 E Empire St, 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 |
---|---|---|---|
1194896720 | NPI | - | NPPES |
010045844 | Other | RR MEDICARE | |
036078947 | Medicaid | IL | |
0540005535 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036078947 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Bloomington, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christie Clinic, Llc | 7719899319 | 202 |
Entity Name | Christie Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
Entity Name | Summit Family Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174718050 PECOS PAC ID: 6406755917 Enrollment ID: O20040105000252 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Wayne Birge Jr, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (309) 300-1031 | Kenneth Wayne Birge Jr, MD 2502 E Empire St, Bloomington, IL 61704-3738 Ph: (309) 300-1031 |
Dr. Justin James Holschbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Jermy Enrique Crespo Gonzalez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington Street, Bloomington, IL 61701 Phone: 309-665-5996 | |
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 | |
Daniel Marley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 | |
Mfowethu Theophilus Langeni, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 210 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Shilpa Mehta, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-663-2100 Fax: 309-663-8322 |