Dr James Daniel Dewar, DO | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-7257 | |
Not Available |
Full Name | Dr James Daniel Dewar |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 19 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 |
---|---|---|---|
1013128222 | NPI | - | NPPES |
036120002 | Medicaid | IL | |
CA4079 | Other | IL | RR MEDICARE GROUP PTAN |
P00617111 | Other | IL | RR MEDICARE GROUP MEMBER PTAN |
809840 | Other | IL | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125-049248 (Illinois) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 56304 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
Rainy Lake Medical Center | International falls, MN | Hospital |
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Health Of Northern Minnesota | 5597725168 | 284 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Sanford Health Of Northern Minnesota |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
Mailing Address | Practice Location Address |
---|---|
Dr James Daniel Dewar, DO 103 Woodbrook Ct, East Peoria, IL 61611-4779 Ph: (309) 922-1006 | Dr James Daniel Dewar, DO 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-7257 |
Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729 | |
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 | |
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383 |