Manuel R Ascano Sr, MD | |
535 Park Ave E, Princeton, IL 61356-2537 | |
(815) 875-4531 | |
(815) 876-2118 |
Full Name | Manuel R Ascano Sr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 535 Park Ave E, Princeton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598712218 | NPI | - | NPPES |
P00219992 | Other | IL | RAILROAD MEDICARE |
036073015 | Medicaid | IL | |
0360730154 | Medicaid | IL | |
P00219992 | Other | IL | RAILROAD MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036073015 (Illinois) | Primary |
Entity Name | Julia Rackley Perry Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619934833 PECOS PAC ID: 1153312798 Enrollment ID: O20040525000980 |
Mailing Address | Practice Location Address |
---|---|
Manuel R Ascano Sr, MD 530 Park Ave E, Princeton, IL 61356-3901 Ph: (815) 875-2811 | Manuel R Ascano Sr, MD 535 Park Ave E, Princeton, IL 61356-2537 Ph: (815) 875-4531 |
Christopher Thomas Blanford, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118 | |
Robert E Mestan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 | |
Miss Robin L Rose, APRN, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 | |
Martin Faber, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-872-1535 |