Dr Derek Martinez, MD | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-2642 | |
Not Available |
Full Name | Dr Derek Martinez |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 14 Years |
Location | 530 Ne Glen Oak 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 |
---|---|---|---|
1043506942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 125060255 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Martinez, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: () - | Dr Derek Martinez, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2642 |
Patrick William Elwood, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 Phone: 309-676-0766 Fax: 309-676-5920 | |
Dr. Paul Miles Macmahon, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: Osf St Francis Medical Ctr, 530 N.e. Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2642 | |
Julian Jwchun Lin, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 Fax: 309-624-4010 | |
Dr. Andres L Maldonado, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 093-624-4000 Fax: 309-624-4010 | |
Dr. Todd David Mccall, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 Fax: 309-624-4010 | |
Dzung Hong Dinh, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 Phone: 309-676-0766 Fax: 309-676-5920 |