Johnathon Douglas Stephens, MD in Peoria, IL

Johnathon Douglas Stephens, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Peoria, Illinois. His current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2000.

Johnathon Douglas Stephens is licensed to practice in Illinois (license number 125.069543) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568812410.

Contact Information

	Johnathon Douglas Stephens, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Johnathon Douglas Stephens
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568812410
Provider Enumeration Date: 06/21/2016
Last Update Date: 02/21/2021

Medicare PECOS Information:

PECOS PAC ID: 7315230489
Enrollment ID: I20221122002544

Medical Identifiers

Medical identifiers for Johnathon Douglas Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568812410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	125.069543 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnathon Douglas Stephens allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558313023 PECOS PAC ID: 5395657001 Enrollment ID: O20201107000114

Entity Name	Geisinger-hm Joint Venture Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952076119 PECOS PAC ID: 1355676370 Enrollment ID: O20230608001567

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnathon Douglas Stephens is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Johnathon Douglas Stephens, MD 1301 W Jefferson St Apt 28c, Morton, IL 61550-1358 Ph: (309) 648-3175	Johnathon Douglas Stephens, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2000

Reviews and Comments

Radiology Doctors in Peoria, IL

Dr. Lawrence C Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602 Phone: 309-494-9320
Dr. Matthew Trent Carpenter, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636 Phone: 309-672-5700 Fax: 309-671-2774
Dr. Cameron Wailynn Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Robert T Bockel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602 Phone: 309-494-9320
Dr. Steven J Ullenius, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Dr. Amanda Catherine Cross, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2000
Dr. Derek Beatty, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7768

Johnathon Douglas Stephens, MD - Medicare Radiology in Peoria, IL