Dr Michael D Tarantino, MD | |
427 W Northmoor Rd, Peoria, IL 61614-3542 | |
(309) 692-5337 | |
(309) 693-3913 |
Full Name | Dr Michael D Tarantino |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 37 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 |
---|---|---|---|
1396731063 | NPI | - | NPPES |
P00096725 | Other | RAILROAD MEDICARE | |
64299787 | Other | KY | KENTUCKY MEDICAID |
7225372 | Other | IL | BCBS OF IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 29978 (Kentucky) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 036-101239 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Graham Hospital Association | Canton, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
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 Michael D Tarantino, MD 427 W Northmoor Rd, Peoria, IL 61614-3542 Ph: (309) 692-5337 | Dr Michael D Tarantino, 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 |