Brandon R Gumbiner, DPM | |
215 E 1st St Ste 310, Dixon, IL 61021 | |
(815) 285-5801 | |
(815) 285-5699 |
Full Name | Brandon R Gumbiner |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 17 Years |
Location | 215 E 1st St Ste 310, Dixon, 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 |
---|---|---|---|
1154583177 | NPI | - | NPPES |
016005377 | Medicaid | IL | |
F400482004 | Other | IL | MEDICARE PTAN |
508770006 | Other | IN | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 07001081 (Indiana) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005377 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Cgh Medical Center | Sterling, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ksb Medical Group Inc | 7911890009 | 74 |
Provider Name | Ksb Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Provider Name | Katherine Shaw Bethea Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Mailing Address | Practice Location Address |
---|---|
Brandon R Gumbiner, DPM 215 E 1st St Ste 310, Dixon, IL 61021-3190 Ph: (815) 285-5801 | Brandon R Gumbiner, DPM 215 E 1st St Ste 310, Dixon, IL 61021 Ph: (815) 285-5801 |
Gayana Wanniarachchi, Podiatrist Medicare: Medicare Enrolled Practice Location: 215 E 1st St Ste 111, Dixon, IL 61021 Phone: 815-345-5677 | |
Kyle Swanson, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Suite 310, Dixon, IL 61021 Phone: 515-210-9777 Fax: 815-285-5699 | |
Dr. David A Yeager, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Ste 306, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5691 | |
Cara Lee Fontana, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St Ste 111, Dixon, IL 61021 Phone: 815-285-5801 | |
Dr. Michael J Wessels, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Ste 306, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5699 | |
Steven Yeschek, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Dixon, IL 61021 Phone: 815-285-5698 |