Gordon W James, MD | |
420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3112 | |
(309) 676-8123 | |
(309) 676-8455 |
Full Name | Gordon W James |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 32 Years |
Location | 420 Ne Glen Oak Ave Ste 401, 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 |
---|---|---|---|
1124158431 | NPI | - | NPPES |
036101714 | Medicaid | IL | |
390006884 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 036101714 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Central Illinois Pekin | Pekin, IL | Dialysis facility |
Davita - Tazewell County Dialysis | Pekin, IL | Dialysis facility |
Saint Francis Medical Center | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renalcare Associates, S.c. | 7012818347 | 43 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Entity Name | Renalcare Associates, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649300377 PECOS PAC ID: 7012818347 Enrollment ID: O20040119000524 |
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 |
---|---|
Gordon W James, MD 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3112 Ph: (309) 676-8123 | Gordon W James, MD 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3112 Ph: (309) 676-8123 |
Sandeep Banga, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Riaz Shah, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729 | |
Dr. James Daniel Dewar, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 | |
Waqas Ali, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Sudhir Mungee, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 | |
Dr. Nikesh Kavi Patel, MD Nephrology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Dr. Bhanu T Paturi, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383 |