Jocelyn Alexandra Leon Peters, MD | |
1700 Henry Luckow Ln, Belvidere, IL 61008-1702 | |
(779) 696-8650 | |
Not Available |
Full Name | Jocelyn Alexandra Leon Peters |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 16 Years |
Location | 1700 Henry Luckow Ln, Belvidere, 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 |
---|---|---|---|
1013262666 | NPI | - | NPPES |
036145489 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 4301101614 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 036.145489 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Gulf Coast Pllc | 4688999022 | 397 |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Entity Name | Lhp Texas Md Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841562667 PECOS PAC ID: 8527222108 Enrollment ID: O20120611000636 |
Entity Name | Obhg Texas Holdings Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Entity Name | Privia Medical Group Gulf Coast Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
Mailing Address | Practice Location Address |
---|---|
Jocelyn Alexandra Leon Peters, MD Po Box 78866, Milwaukee, WI 53278-8866 Ph: (779) 696-7150 | Jocelyn Alexandra Leon Peters, MD 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 Ph: (779) 696-8650 |
Dr. Amanda Jo Bush, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 | |
Mrs. Jyothi Gondi, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 303 Andrews Dr, # 200, Belvidere, IL 61008 Phone: 815-323-1133 Fax: 815-323-1131 |