Dr Jonathan Charles Roberts, MD | |
427 W Northmoor Rd, Peoria, IL 61614-3542 | |
(309) 692-5337 | |
(309) 693-3913 |
Full Name | Dr Jonathan Charles Roberts |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 16 Years |
Location | 427 W Northmoor Rd, 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 |
---|---|---|---|
1871757070 | NPI | - | NPPES |
1871757070 | Medicaid | WI |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michael D. Tarantino, M.d. S.c. | 6800950833 | 4 |
Entity Name | Michael D. Tarantino, M.d. S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740430784 PECOS PAC ID: 6800950833 Enrollment ID: O20090205000359 |
Entity Name | The Bleeding And Clotting Disorders Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424633 PECOS PAC ID: 6608051230 Enrollment ID: O20110426000500 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Charles Roberts, MD 427 W Northmoor Rd, Peoria, IL 61614-3542 Ph: (309) 692-5337 | Dr Jonathan Charles Roberts, MD 427 W Northmoor Rd, Peoria, IL 61614-3542 Ph: (309) 692-5337 |
Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
Khalid Al Katranji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7171 | |
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 |