Dr Tyler Andrew Evans, MD | |
1001 Main St Ste 300, Peoria, IL 61606-2036 | |
(217) 528-7541 | |
Not Available |
Full Name | Dr Tyler Andrew Evans |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 12 Years |
Location | 1001 Main St Ste 300, 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 |
---|---|---|---|
1629416920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2082S0105X | Plastic Surgery - Surgery Of The Hand | 036.153539 (Illinois) | Secondary |
208200000X | Plastic Surgery | 036.153539 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Dr Tyler Andrew Evans, MD Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Dr Tyler Andrew Evans, MD 1001 Main St Ste 300, Peoria, IL 61606-2036 Ph: (217) 528-7541 |
Mr. Glyn E. Jones, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Dr. John E Lomax, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 | |
Todd Gerlach, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-282-0500 | |
Dr. Richard D Corley, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 808 W Trailcreek Dr, Peoria, IL 61614 Phone: 309-693-3122 Fax: 309-693-4250 |