| 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 | 35 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 |
| Carle Hoopeston Regional Health Center | Hoopeston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoopeston Community Memorial Hospital | 3577456037 | 120 |
| Carle Health Care Incorporated | 3577515774 | 912 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 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 |
Cheng-han Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 | |
David Kimball, Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 | |
Kendall C Newsome, MD Radiology Medicare: Medicare Enrolled Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
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 | |
Juan J Jimenez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 | |
Stephanie K Weber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116 |