Robert R Lisek, MD | |
5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 | |
(815) 525-4500 | |
(815) 525-4505 |
Full Name | Robert R Lisek |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 5605 E. Rockton Road, Roscoe, 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 |
---|---|---|---|
1639187677 | NPI | - | NPPES |
1639187677 | Medicaid | WI | |
036097909 | Medicaid | IL | |
11765 | Other | DEAN HEALTH PLAN HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036097909 (Illinois) | Primary |
207R00000X | Internal Medicine | 38216-020 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Beloit Health System | Beloit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beloit Health System Inc | 8224947858 | 111 |
Beloit Health System Inc | 8224947858 | 111 |
Entity Name | Beloit Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
Mailing Address | Practice Location Address |
---|---|
Robert R Lisek, MD 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 | Robert R Lisek, MD 5605 E. Rockton Road, Northpointe Clinic, Roscoe, IL 61073-7601 Ph: (815) 525-4500 |
David L. Hansen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Prairie Rose Dr, Roscoe, IL 61073 Phone: 815-971-2000 Fax: 815-971-9417 | |
Dusica Sekulic, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5000 Prairie Rose Dr, Roscoe, IL 61073 Phone: 815-971-2000 | |
Dr. Afoma Phoebe Ezidinma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5605 E Rockton Rd, Northpointe Clinic, Roscoe, IL 61073 Phone: 815-525-4500 Fax: 815-525-4505 |