| Beloit Health System Clinics | |
|
5605 E Rockton Rd Roscoe IL 61073-7601 | |
| (608) 364-5011 | |
| (608) 758-3216 |
| Full Name | Beloit Health System Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 5605 E Rockton Rd, Roscoe, Illinois |
| Authorized Official Name and Position | Micheal Bua (DIRECTOR, FINANCE) |
| Authorized Official Contact | 6083645377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beloit Health System Clinics 5605 E Rockton Rd Roscoe IL 61073-7601 Ph: (608) 364-5011 | Beloit Health System Clinics 5605 E Rockton Rd Roscoe IL 61073-7601 Ph: (608) 364-5011 |
| NPI Number | 1841485984 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 8224947858 |
|---|---|
| Medicare Enrollment ID | O20080204000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841485984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 67 (Wisconsin) | Secondary |
| Provider Name | David K Yoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124023031 PECOS PAC ID: 5597668459 Enrollment ID: I20040128000965 |
| Provider Name | Javaid Iqbal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942304035 PECOS PAC ID: 4688564172 Enrollment ID: I20040318000464 |
| Provider Name | Peter H Marks |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558327320 PECOS PAC ID: 2163410762 Enrollment ID: I20040503001483 |
| Provider Name | Alfred P Rosche |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1962448332 PECOS PAC ID: 5799792271 Enrollment ID: I20060308000170 |
| Provider Name | Nivedita Karmakar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275515462 PECOS PAC ID: 7517064066 Enrollment ID: I20070518000064 |
| Provider Name | Walter C Vogel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629087085 PECOS PAC ID: 4981516499 Enrollment ID: I20070906000115 |
| Provider Name | Larry M Ojeda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265541999 PECOS PAC ID: 0446162952 Enrollment ID: I20071011000082 |
| Provider Name | Cheryl M Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619076577 PECOS PAC ID: 7214026087 Enrollment ID: I20071130000493 |
| Provider Name | Glenn Anthony A Tan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689692410 PECOS PAC ID: 7618971458 Enrollment ID: I20071210000360 |
| Provider Name | Paul M Segal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720097165 PECOS PAC ID: 4082526595 Enrollment ID: I20071226000106 |
| Provider Name | Tsu-hon Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457369498 PECOS PAC ID: 8224002852 Enrollment ID: I20080108000779 |
| Provider Name | Jackky Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093744617 PECOS PAC ID: 0042319535 Enrollment ID: I20080109000815 |
| Provider Name | Steven E Diebold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487724019 PECOS PAC ID: 0345323366 Enrollment ID: I20080214000346 |
| Provider Name | Shawn P Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356458517 PECOS PAC ID: 1951484971 Enrollment ID: I20080214000366 |
| Provider Name | Abraham R Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326155870 PECOS PAC ID: 3173607207 Enrollment ID: I20080227000392 |
| Provider Name | Kenneth L Klein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881681294 PECOS PAC ID: 8527143429 Enrollment ID: I20080402000436 |
| Provider Name | Annabelle Tolentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275566366 PECOS PAC ID: 8123936028 Enrollment ID: I20090225000589 |
| Provider Name | Leighton C Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811915085 PECOS PAC ID: 6800949652 Enrollment ID: I20090909000743 |
| Provider Name | Landon S Pryor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831306968 PECOS PAC ID: 8628177912 Enrollment ID: I20091113000048 |
| Provider Name | Shamshad Anjum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487753596 PECOS PAC ID: 0244366029 Enrollment ID: I20100824001119 |
| Provider Name | Lisa G Reinicke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427074541 PECOS PAC ID: 0648339267 Enrollment ID: I20100824001215 |
| Provider Name | Robert R Lisek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639187677 PECOS PAC ID: 5092856344 Enrollment ID: I20100824001261 |
| Provider Name | Marek S Bentkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437167277 PECOS PAC ID: 7113069725 Enrollment ID: I20100824001269 |
| Provider Name | Russell D Albert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811906738 PECOS PAC ID: 5294875035 Enrollment ID: I20100915000195 |
| Provider Name | Lisa M Kosmicki |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770814691 PECOS PAC ID: 4486789591 Enrollment ID: I20110211000917 |
| Provider Name | Michael A Donnelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831107671 PECOS PAC ID: 6800984725 Enrollment ID: I20110211000946 |
| Provider Name | Tejesh N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447268487 PECOS PAC ID: 2264520188 Enrollment ID: I20110211000988 |
| Provider Name | Alice M Townshend |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437169752 PECOS PAC ID: 0941342547 Enrollment ID: I20110211000990 |
| Provider Name | Christel A Tecarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235244849 PECOS PAC ID: 9234194507 Enrollment ID: I20110211000993 |
| Provider Name | Stephen R Rudisill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013925775 PECOS PAC ID: 8123017746 Enrollment ID: I20110211000996 |
| Provider Name | Mario R Rojas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326151002 PECOS PAC ID: 1355253865 Enrollment ID: I20110211000998 |
| Provider Name | Maria E Taveras |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184632127 PECOS PAC ID: 4880735091 Enrollment ID: I20110211001002 |
| Provider Name | Roger Kapoor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154501245 PECOS PAC ID: 3072783497 Enrollment ID: I20110825000740 |
| Provider Name | Katie E Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114201613 PECOS PAC ID: 2163696709 Enrollment ID: I20111117000386 |
| Provider Name | Dimitrios Fanopoulos |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326056094 PECOS PAC ID: 6406999473 Enrollment ID: I20111203000085 |
| Provider Name | Neel K Karne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871728014 PECOS PAC ID: 8325203888 Enrollment ID: I20120719000053 |
| Provider Name | Brian T Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558791459 PECOS PAC ID: 1052548492 Enrollment ID: I20131216001202 |
| Provider Name | Binn M Jatta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255565115 PECOS PAC ID: 8921236340 Enrollment ID: I20140110000550 |
| Provider Name | Daniel C Sellman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548325616 PECOS PAC ID: 5698735777 Enrollment ID: I20140605002161 |
| Provider Name | Nicole A Bindl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083801153 PECOS PAC ID: 5799904736 Enrollment ID: I20150122000932 |
| Provider Name | Luan Elezi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659635092 PECOS PAC ID: 5597077222 Enrollment ID: I20150708002497 |
| Provider Name | Lee A Mcfadden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245398981 PECOS PAC ID: 0446491989 Enrollment ID: I20150805007125 |
| Provider Name | Jamie T Frantz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578794582 PECOS PAC ID: 7517285026 Enrollment ID: I20150924002226 |
| Provider Name | Jessica M Frantz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033183330 PECOS PAC ID: 7214233014 Enrollment ID: I20160303002325 |
| Provider Name | Meredith A Maxey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962845941 PECOS PAC ID: 2860798212 Enrollment ID: I20160919001117 |
| Provider Name | Robert M Sage |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871523316 PECOS PAC ID: 8224939236 Enrollment ID: I20170127000143 |
| Provider Name | Nissage Cadet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528144235 PECOS PAC ID: 2860409125 Enrollment ID: I20170201000209 |
| Provider Name | Kristy N Dygart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689027344 PECOS PAC ID: 4082909221 Enrollment ID: I20170811000025 |
| Provider Name | Joseph K Kittah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073768438 PECOS PAC ID: 4183891948 Enrollment ID: I20180214002556 |
| Provider Name | Michael E Flatley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588637672 PECOS PAC ID: 7517020621 Enrollment ID: I20180219000408 |
| Provider Name | Mark D Plumb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821061367 PECOS PAC ID: 3779648787 Enrollment ID: I20180221000836 |
| Provider Name | Steven S Yang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053370353 PECOS PAC ID: 7214966571 Enrollment ID: I20180418002607 |
| Provider Name | Trisha L Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942703285 PECOS PAC ID: 5991060071 Enrollment ID: I20180518001129 |
| Provider Name | Melissa A Amberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366882797 PECOS PAC ID: 6901152024 Enrollment ID: I20180703003086 |
| Provider Name | Thuy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144679085 PECOS PAC ID: 0042583056 Enrollment ID: I20190621001533 |
| Provider Name | Nishant N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497104335 PECOS PAC ID: 6507139821 Enrollment ID: I20190624000062 |
| Provider Name | James H Whelan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578983144 PECOS PAC ID: 9830462076 Enrollment ID: I20200506000334 |
| Provider Name | Zachary Adam Zimmerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265815187 PECOS PAC ID: 4385075779 Enrollment ID: I20200519003162 |
| Provider Name | Franklin E Lew |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437596186 PECOS PAC ID: 1759521347 Enrollment ID: I20200714001877 |
| Provider Name | Andrea Martin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407268196 PECOS PAC ID: 6709001621 Enrollment ID: I20200714003679 |
| Provider Name | Cynthia J Rehbein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669438487 PECOS PAC ID: 4183751233 Enrollment ID: I20201123001414 |
| Provider Name | Andrea Stitgen Policano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376808998 PECOS PAC ID: 9739317215 Enrollment ID: I20210225001792 |
| Provider Name | Iain William Decker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740718410 PECOS PAC ID: 6002164902 Enrollment ID: I20210728003558 |
| Provider Name | Xiaoxiao Catherine Guo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770931933 PECOS PAC ID: 6709178361 Enrollment ID: I20211019002001 |
| Provider Name | Cody A Digiovanni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396411591 PECOS PAC ID: 4789072588 Enrollment ID: I20211028000211 |
| Provider Name | Tyler J Esser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831697291 PECOS PAC ID: 3971900275 Enrollment ID: I20211116000267 |
| Provider Name | Michal Gutowski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730613621 PECOS PAC ID: 5193076529 Enrollment ID: I20230214000475 |
| Provider Name | Dawn M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952909277 PECOS PAC ID: 8325412091 Enrollment ID: I20230320001799 |
| Provider Name | Derek S Damrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770016008 PECOS PAC ID: 3476821695 Enrollment ID: I20230829003037 |
| Provider Name | Robert J Derby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104593060 PECOS PAC ID: 4183004989 Enrollment ID: I20231207002676 |
Northpointe Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 E Rockton Rd, Roscoe, IL 61073 Phone: 608-364-5123 | |
Sa Stateline Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4282 E Rockton Rd, Roscoe, IL 61073 Phone: 779-696-9000 | |
Roscoe Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 East Rockton Rd, North Pointe, Roscoe, IL 61073 Phone: 815-525-4500 Fax: 608-364-2338 | |
Life Balance Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5069 Edgemere Ct, Roscoe, IL 61073 Phone: 815-623-1013 Fax: 815-623-1017 | |
Samg Roscoe Immediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Hononegah Rd, Roscoe, IL 61073 Phone: 779-696-9000 | |
Samg Roscoe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Hononegah Rd, Roscoe, IL 61073 Phone: 779-696-9000 |