Robert T Russell, MD | |
1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 | |
(309) 662-3277 | |
(309) 663-0845 |
Full Name | Robert T Russell |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 37 Years |
Location | 1404 Eastland Dr Ste 209, 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 |
---|---|---|---|
1992813174 | NPI | - | NPPES |
05700224 | Other | BLU CROSS BLUE SHIELD | |
036082417 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 036082417 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Entity Name | Bloomington Normal Ear Nose Throat Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114038528 PECOS PAC ID: 7618067695 Enrollment ID: O20071213000680 |
Mailing Address | Practice Location Address |
---|---|
Robert T Russell, MD 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 Ph: (309) 662-3277 | Robert T Russell, MD 1404 Eastland Dr Ste 209, Bloomington, IL 61701-7904 Ph: (309) 662-3277 |
Thomas C Ocheltree, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Dr Ste 209, Bloomington, IL 61701 Phone: 309-662-3277 Fax: 309-663-0845 | |
Christopher D Lansford, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-589-5900 | |
Jillian Michelle Hanson, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Willard Noyes, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St Ste C, Bloomington, IL 61704 Phone: 309-268-3200 | |
Dennis Lee, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 107 N Regency Dr, Bloomington, IL 61701 Phone: 309-662-4411 |