Dr Richard Anderson, MD | |
1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | |
(309) 495-0200 | |
(309) 676-6545 |
Full Name | Dr Richard Anderson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 33 Years |
Location | 1001 Main Street, Peoria, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699703892 | NPI | - | NPPES |
036095602-1 | Medicaid | IL | |
7215166 | Other | IL | BLUE CROSS BLUE SHIELD |
020046522 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036095602 (Illinois) | Primary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036095602 (Illinois) | Secondary |
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 |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 246 |
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Peoria Surgical Group, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275542045 PECOS PAC ID: 9335039882 Enrollment ID: O20040405001013 |
Entity Name | Saint Francis Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295785632 PECOS PAC ID: 9032021258 Enrollment ID: O20060307000310 |
Entity Name | Osf Multi-specialty Group |
---|---|
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 |
---|---|
Dr Richard Anderson, MD 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 Ph: (309) 495-0200 | Dr Richard Anderson, MD 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 Ph: (309) 495-0200 |
Alexandra Roper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Charles Aprahamian, MD Surgery Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-3800 Fax: 309-655-3948 | |
Dr. Andy C. Chiou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Mr. James Murray Jeffries Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-282-0500 | |
Mr. Julius P. Bonello, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, Suite 300, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Dr. Jeffrey L Williamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 530, Peoria, IL 61602 Phone: 309-672-5975 Fax: 309-655-1678 | |
Jessica L Secor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7725 N Knoxville Ave, Peoria, IL 61614 Phone: 309-495-0250 Fax: 309-689-9035 |