Dr Vernell Johnson Iii, MD | |
500 W Court St, Kankakee, IL 60901-3661 | |
(815) 937-2100 | |
Not Available |
Full Name | Dr Vernell Johnson Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 500 W Court St, Kankakee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063458024 | NPI | - | NPPES |
4622394 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | (Illinois) | Primary |
Entity Name | Emergency Medicine Physicians Of Cook County Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114168929 PECOS PAC ID: 8325197403 Enrollment ID: O20090520000156 |
Entity Name | Illinois Emergency Medicine Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003150962 PECOS PAC ID: 6103071808 Enrollment ID: O20130304000132 |
Mailing Address | Practice Location Address |
---|---|
Dr Vernell Johnson Iii, MD 555 W Court St, Kankakee, IL 60901-3675 Ph: (888) 828-3193 | Dr Vernell Johnson Iii, MD 500 W Court St, Kankakee, IL 60901-3661 Ph: (815) 937-2100 |
Dr. Renee Lori Peksa-sink, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7500 | |
Dr. Thaddeus Manczko, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Steven Decker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Brian Crowley, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
John Lacheta, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Timothy Moran, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 |