Dr Peter D Crocker, DC | |
106 N High St, Port Byron, IL 61275-9532 | |
(309) 848-9017 | |
(888) 830-9748 |
Full Name | Dr Peter D Crocker |
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Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 106 N High St, Port Byron, 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 |
---|---|---|---|
1437169851 | NPI | - | NPPES |
2194521 | Other | AZ | FIRST HEALTH |
2050841 | Other | AZ | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5854 (Arizona) | Secondary |
111N00000X | Chiropractor | 038012184 (Illinois) | Primary |
Provider Name | River City Alternative Health Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588929277 PECOS PAC ID: 2466604210 Enrollment ID: O20121130000564 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter D Crocker, DC Po Box 97, Port Byron, IL 61275-0097 Ph: (309) 848-9017 | Dr Peter D Crocker, DC 106 N High St, Port Byron, IL 61275-9532 Ph: (309) 848-9017 |
River City Alternative Health, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 106 N High St, Port Byron, IL 61275 Phone: 309-848-9017 Fax: 888-830-9748 | |
Dr. David Lee Bull, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1010 Rose Hill Rd, Port Byron, IL 61275 Phone: 309-523-3491 Fax: 309-523-3670 | |
Bull Clinic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Rd, Port Byron, IL 61275 Phone: 309-523-3491 Fax: 309-523-3670 |