Mitchell Sussman, MD | |
611 W. Park St., Radiology, Urbana, IL 61801 | |
(217) 383-3270 | |
(217) 383-4116 |
Full Name | Mitchell Sussman |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 611 W. Park St., Urbana, 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 |
---|---|---|---|
1427097104 | NPI | - | NPPES |
036088537*3 | Medicaid | IL | |
0533210001 | Other | IL | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 36088537 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036088537 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle Health Care Incorporated | 3577515774 | 799 |
Entity Name | Hoopeston Community Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
Entity Name | Richland Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
Entity Name | Kirby Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Sussman, MD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Mitchell Sussman, MD 611 W. Park St., Radiology, Urbana, IL 61801 Ph: (217) 383-3270 |
David Kimball, Radiology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 | |
Kendall C Newsome, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Gregory A. Babcock, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Interventional Radiology, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7742 | |
Dr. Jason M Huston, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 | |
Douglas W Morton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Steve C Hong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 West Park Street, Ir, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7742 | |
Juan J Jimenez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 |