Ryan Lee Buettner, MD | |
747 N Rutledge St Fl 5, Springfield, IL 62702-6700 | |
(217) 545-8000 | |
Not Available |
Full Name | Ryan Lee Buettner |
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Gender | Male |
Speciality | Urology |
Location | 747 N Rutledge St Fl 5, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467953208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208800000X | Urology | 036.165177 (Illinois) | Primary |
Entity Name | Siu Physicians & Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
Mailing Address | Practice Location Address |
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Ryan Lee Buettner, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000 | Ryan Lee Buettner, MD 747 N Rutledge St Fl 5, Springfield, IL 62702-6700 Ph: (217) 545-8000 |
Herbert J Wiser, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-527-2620 | |
Chandler Nicholas Hudson, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Joe Miller, M.D. Urology Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305 | |
Dr. David A. Roszhart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 800 N. 1st Street, Springfield, IL 62702 Phone: 217-528-7541 | |
Roberta Lynn Koeppen, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Robert Henry Blackwell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 | |
Kevin Mcvary, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Ste Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 |