Jessica L Secor, MD | |
7725 N Knoxville Ave, Peoria, IL 61614-2079 | |
(309) 495-0250 | |
(309) 689-9035 |
Full Name | Jessica L Secor |
---|---|
Gender | Female |
Speciality | Vascular Surgery |
Experience | 13 Years |
Location | 7725 N Knoxville Ave, Peoria, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164700183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 36140614 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lovelace Medical Center | Albuquerque, NM | Hospital |
Lovelace Women's Hospital | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Medical Associates, Llc | 7214831114 | 307 |
Entity Name | Southwest Medical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
Mailing Address | Practice Location Address |
---|---|
Jessica L Secor, MD 7725 N Knoxville Ave, Peoria, IL 61614-2079 Ph: (309) 495-0240 | Jessica L Secor, MD 7725 N Knoxville Ave, Peoria, IL 61614-2079 Ph: (309) 495-0250 |
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 |