Lori L Pegram, MD - Internal Medicine in Bloomington, IL

Lori L Pegram, MD is a Internal Medicine physician based in Bloomington, Illinois. Lori L Pegram is licensed to practice in Illinois (license number 036072679) and his current practice location is 302 Saint Joseph Dr, Bloomington, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 664-3100.

NPI number for Lori L Pegram is 1215947171 and his current mailing address is 302 Saint Joseph Dr, Bloomington, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215947171.

Contact Information

Lori L Pegram, MD
302 Saint Joseph Dr,
Bloomington, IL 61701-3506
(309) 664-3100
(309) 664-3027



Physician's Profile

Full NameLori L Pegram
GenderMale
SpecialityInternal Medicine
Location302 Saint Joseph Dr, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215947171
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 04/22/2014

Medical Identifiers

Medical identifiers for Lori L Pegram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215947171NPI-NPPES
IL2613OtherILMEDICARE GROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036072679 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori L Pegram is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lori L Pegram, MD
302 Saint Joseph Dr,
Bloomington, IL 61701-3506

Ph: (309) 664-3100
Lori L Pegram, MD
302 Saint Joseph Dr,
Bloomington, IL 61701-3506

Ph: (309) 664-3100

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Internal Medicine Doctors in Bloomington, IL

Dr. Venkata Ranganadh Dodda, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701
Phone: 309-661-2368    
Kumarpal Shrishrimal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, Ste 3000, Bloomington, IL 61701
Phone: 309-676-8123    Fax: 309-676-8455
Robert Bruha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701
Phone: 309-676-8123    Fax: 309-676-8455
Kenneth H. Inoue,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1505 Eastland Dr, Bloomington, IL 61701
Phone: 309-661-2368    Fax: 309-662-9709
Paul Pedersen,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3120    Fax: 309-663-5742
Rajeev Varma, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1505 Eastland Dr Ste 320, Bloomington, IL 61701
Phone: 309-661-2368    Fax: 309-662-9709
Nasiruddin Khokhar, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701
Phone: 309-434-3151    

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