Dr Meera Gopu, MD | |
8600 Illinois Rt 91, Ste. 300, Peoria, IL 61615 | |
(309) 691-6616 | |
(309) 282-3848 |
Full Name | Dr Meera Gopu |
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Gender | Female |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 8600 Illinois Rt 91, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609442912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 288601 (Massachusetts) | Primary |
Entity Name | Osf Multi-specialty Group |
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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 |
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Dr Meera Gopu, MD 8600 Illinois Rt 91, Ste 300, Peoria, IL 61615 Ph: () - | Dr Meera Gopu, MD 8600 Illinois Rt 91, Ste. 300, Peoria, IL 61615 Ph: (309) 691-6616 |
Mr. Robert Thomas Parrish, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
Mr. James Curtis Hertenstein, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
James A Geraghty, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 | |
Harrison C Putman Iii, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-3233 Fax: 309-683-4120 | |
Dr. James J Klemens, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 | |
Mr. Michael Joseph Gootee, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-4180 Fax: 309-655-3948 |