Dr Patrick H Mckenna, MD | |
8201 E Riverside Blvd, Rockford, IL 61114-2300 | |
(815) 971-7255 | |
(815) 971-9955 |
Full Name | Dr Patrick H Mckenna |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 8201 E Riverside Blvd, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952397051 | NPI | - | NPPES |
1952397051 | Medicaid | WI | |
036103859 | Medicaid | IL |
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Mailing Address | Practice Location Address |
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Dr Patrick H Mckenna, MD 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7255 | Dr Patrick H Mckenna, MD 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7255 |
Daniel Lee Houlihan, D.O. Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Dr. Luke Richard Frederick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Ashley Wire, FNP-BC Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Christopher Whelan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-316-4296 | |
Douglas Paul Roegner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Daniel Lawler Swift, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Michael John Fumo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 |