Brad A Stoecker, MD | |
401 N Main St, Roanoke, IL 61561-7516 | |
(309) 923-2661 | |
(309) 923-7628 |
Full Name | Brad A Stoecker |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 401 N Main St, Roanoke, 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 |
---|---|---|---|
1508887860 | NPI | - | NPPES |
036116395 | Medicaid | IL | |
CA2182 | Other | IL | RR MEDICARE GROUP PTAN (PONTIAC) |
809840 | Other | IL | MEDICARE GROUP # |
P00406153 | Other | RR MEDICARE IND. # | |
833230 | Other | GROUP # FOR PONTIAC | |
CA4079 | Other | RR MEDICARE GROUP # | |
P00601872 | Other | IL | RR MEDICARE IND PTAN (PONTIAC) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-116395 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Home Health-eastern Region | Normal, IL | Home health agency |
Saint Francis Medical Center | Peoria, IL | Hospital |
Saint James Hospital | Pontiac, IL | Hospital |
Advocate Eureka Hospital | Eureka, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Apostolic Christian Home | Roanoke, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint James Hospital | 0648187252 | 59 |
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Saint James Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Brad A Stoecker, MD 401 N Main St, Roanoke, IL 61561-7516 Ph: (309) 923-2661 | Brad A Stoecker, MD 401 N Main St, Roanoke, IL 61561-7516 Ph: (309) 923-2661 |
Erica Nicole Svendsen, APRN,CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 |