Kevin Regis, MD | |
1304 Franklin Ave, Normal, IL 61761-3558 | |
(309) 268-5130 | |
Not Available |
Full Name | Kevin Regis |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1304 Franklin Ave, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861884520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125070584 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 036154193 (Illinois) | Primary |
Entity Name | Kyte River Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063751188 PECOS PAC ID: 9234378563 Enrollment ID: O20130618000528 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
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Kevin Regis, MD 611 W. Park St., Fapc, Urbana, IL 61801 Ph: () - | Kevin Regis, MD 1304 Franklin Ave, Normal, IL 61761-3558 Ph: (309) 268-5130 |
Julie Lewis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Emergency Department, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Stephanie Sullivan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Dr. Thomas Pliura, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Dr. Melvin Ehrhardt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Dr. Eric Wernsman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Virgina & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 | |
Tomasz Przednowek, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5130 | |
Dr. Parasakthi Kolandaivelu, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Virginia & Franklin Streets, Normal, IL 61761 Phone: 309-827-4321 |