Dr William Edmund Fletchall, MD | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-6710 | |
Not Available |
Full Name | Dr William Edmund Fletchall |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 530 Ne Glen Oak Ave, 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 |
---|---|---|---|
1285843011 | NPI | - | NPPES |
0361189564 | Medicaid | IL | |
P00655422 | Other | IL | RAILROAD MCARE THRU CES |
P00936448 | Other | IL | RRMCARE THRU CESIISC (GES) |
36118956 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125-049796 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 036118956 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
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 | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
Entity Name | Nes Michigan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740794536 PECOS PAC ID: 2961578265 Enrollment ID: O20180125001584 |
Entity Name | Epss, Llc- Metro Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782305 PECOS PAC ID: 6608266713 Enrollment ID: O20211203002440 |
Mailing Address | Practice Location Address |
---|---|
Dr William Edmund Fletchall, MD 7501 N Villa Lake Dr Unit 9a, Peoria, IL 61614-8280 Ph: (309) 691-5133 | Dr William Edmund Fletchall, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-6710 |
Dr. Austin Lamb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637 Phone: 309-655-7257 | |
Philip A Fifield, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Dr. Anthony J Buecker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5500 | |
Dr. Mark Phillip Gaudio, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6710 | |
Michael M Raso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Bourland Ave, Peoria, IL 61606 Phone: 309-264-0730 | |
Ryan Newberger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 248-207-2018 | |
Craig D Koch, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 |