David Tennant, | |
5409 N Knoxville Ave, Peoria, IL 61614 | |
(309) 691-1000 | |
Not Available |
Full Name | David Tennant |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 5409 N Knoxville Ave, Peoria, 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 |
---|---|---|---|
1114345584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036144079 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carle Home Care | Champaign, IL | Home health agency |
St. Francis Medical Center | Peoria, IL | Home health agency |
Proctor Hospital | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proctor Health Systems | 3476440173 | 124 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Entity Name | Belcrest Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245275312 PECOS PAC ID: 9335037217 Enrollment ID: O20040310001103 |
Mailing Address | Practice Location Address |
---|---|
David Tennant, 5409 N Knoxville Ave, Peoria, IL 61614-5069 Ph: (309) 691-1000 | David Tennant, 5409 N Knoxville Ave, Peoria, IL 61614 Ph: (309) 691-1000 |
Sarah R Koscica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686 | |
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Iram Yunus, Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580 | |
Gregory T Moskop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Julie Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1524 W Glen Ave, Peoria, IL 61614 Phone: 309-512-0902 | |
Christopher Reavis Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603 Phone: 309-680-7600 Fax: 309-495-8614 | |
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339 |