Ravindra Kashyap, MD | |
1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 | |
(309) 661-2368 | |
(309) 662-9709 |
Full Name | Ravindra Kashyap |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 29 Years |
Location | 1505 Eastland Dr, Bloomington, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437145273 | NPI | - | NPPES |
036095871 | Medicaid | IL | |
DP5951 | Other | RR MEDICARE GROUP # | |
IL2613 | Other | IL | MEDICARE GROUP PTAN |
833120 | Other | IL | MEDICARE GROUP |
P00662864/CA2264 | Other | RAIL ROAD MEDICARE | |
P00823121 | Other | RR MEDICARE INDIVIDUAL # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 036095871 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 246 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Mailing Address | Practice Location Address |
---|---|
Ravindra Kashyap, MD 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 Ph: (309) 661-2368 | Ravindra Kashyap, MD 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 Ph: (309) 661-2368 |
Dr. Venkata Ranganadh Dodda, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 | |
Kumarpal Shrishrimal, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Ste 3000, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455 | |
Mr. Kenneth Schoenig, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Dr. Robert Edward Clark, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820 | |
Robert Bruha, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-676-8123 Fax: 309-676-8455 | |
Kenneth H. Inoue, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 | |
Paul Pedersen, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742 |