Carlos Rodolfo Bocanegra Cordova, PA-C - Medicare Physician Assistant in Champaign, IL

Carlos Rodolfo Bocanegra Cordova, PA-C is a medicare enrolled "Physician Assistant" in Champaign, Illinois. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Carle Health Care Incorporated and his current practice location is 819 Bloomington Rd, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 356-1558.

Carlos Rodolfo Bocanegra Cordova is licensed to practice in Illinois (license number 085.007669) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376166264.

Contact Information

Carlos Rodolfo Bocanegra Cordova, PA-C
819 Bloomington Rd,
Champaign, IL 61820-2101
(217) 356-1558
Not Available



Provider's Profile

Full NameCarlos Rodolfo Bocanegra Cordova
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location819 Bloomington Rd, Champaign, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlos Rodolfo Bocanegra Cordova graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1376166264
  • Provider Enumeration Date: 05/26/2020
  • Last Update Date: 06/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224450721
  • Enrollment ID: I20200629002195

Medical Identifiers

Medical identifiers for Carlos Rodolfo Bocanegra Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376166264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.007669 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Carle Foundation HospitalUrbana, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle Health Care Incorporated3577515774808

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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. Carlos Rodolfo Bocanegra Cordova is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carlos Rodolfo Bocanegra Cordova, PA-C
819 Bloomington Rd,
Champaign, IL 61820-2101

Ph: (217) 356-1558
Carlos Rodolfo Bocanegra Cordova, PA-C
819 Bloomington Rd,
Champaign, IL 61820-2101

Ph: (217) 356-1558

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Physician Assistant Nurses in Champaign, IL

Ellen Flora,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 101 W University Ave, Champaign, IL 61820
Phone: 217-366-1248    
Kristine S Anderson, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1802 S Mattis Ave, Champaign, IL 61821
Phone: 217-383-3260    Fax: 217-383-4459
Jessica Sorensen, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3101 Fields South Dr, Champaign, IL 61822
Phone: 217-366-1228    
Allen Thomas, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Windsor Rd, Champaign, IL 61822
Phone: 217-366-8130    Fax: 217-366-6106
Julie A Young, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821
Phone: 217-383-3260    Fax: 217-383-4459
Whitney Kauffman, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 101 W University Ave, Champaign, IL 61820
Phone: 217-366-8107    Fax: 217-366-6106
Mr. James Edward Wallace Jr., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 101 W University Ave, Spine And Pain Management, Champaign, IL 61820
Phone: 217-366-8796    Fax: 217-366-6106

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