Richard Mast Reinhard Iii, MD | |
1276 N Clybourn Ave, Chicago, IL 60610-2089 | |
(312) 337-1073 | |
(312) 337-7616 |
Full Name | Richard Mast Reinhard Iii |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1276 N Clybourn Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982606497 | NPI | - | NPPES |
136436001 | Medicaid | AR | |
18311000000 | Other | AR | QUALCHOICE NUMBER |
5L125 | Other | AR | BLUE CROSS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E-2211 (Arkansas) | Secondary |
208000000X | Pediatrics | 58522 (Tennessee) | Secondary |
208000000X | Pediatrics | 036.168144 (Illinois) | Primary |
Entity Name | Hardeman County Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861468340 PECOS PAC ID: 5799694147 Enrollment ID: O20040615001290 |
Mailing Address | Practice Location Address |
---|---|
Richard Mast Reinhard Iii, MD 1276 N Clybourn Ave, Chicago, IL 60610-2003 Ph: (312) 337-1073 | Richard Mast Reinhard Iii, MD 1276 N Clybourn Ave, Chicago, IL 60610-2089 Ph: (312) 337-1073 |
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519 | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190 | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631 | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346 | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924 | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000 |