Kenneth R Krock, MD | |
180 S Main St, Canton, IL 61520-2608 | |
(309) 647-0201 | |
(309) 649-6880 |
Full Name | Kenneth R Krock |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 33 Years |
Location | 180 S Main St, Canton, 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 |
---|---|---|---|
1699883868 | NPI | - | NPPES |
079829 | Other | IL | OSF HEALTHPLANS |
CG5172 | Other | IL | RR MEDICARE GROUP# |
02922981 | Other | IL | BCBS |
200397 | Other | IL | BLACK LUNG |
013495 | Other | IL | HEALTH ALLIANCE |
036079829 | Medicaid | IL | |
194215197 | Other | IL | NPI CLINIC NUMBER |
0062839 | Other | IL | UMWA |
110200867 | Other | IL | RR MEDICARE PIN |
180741 | Other | IL | HEALTH LINK |
IL0104 | Other | IL | JOHN DEERE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036079829 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036079829 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spoon River Home Hlth Services | Farmington, IL | Home health agency |
Western Ill Home Hlth Care In | Monmouth, IL | Home health agency |
Harbor Light Hospice | Glen ellyn, IL | Hospice |
Hospice Compassus - Northwest Illinois | Galesburg, IL | Hospice |
Graham Hospital Association | Canton, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
Mason District Hospital | Havana, IL | Hospital |
Renaissance Care Center | Canton, IL | Nursing home |
Graham Hospital | Canton, IL | Nursing home |
Loft Rehab & Nursing Of Canton | Canton, IL | Nursing home |
Clayberg, The | Cuba, IL | Nursing home |
Sunset Rehabilitation & Hlth C | Canton, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Graham Hospital Association | 2769375021 | 95 |
Entity Name | Graham Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Mailing Address | Practice Location Address |
---|---|
Kenneth R Krock, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Kenneth R Krock, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
John M Mccarthy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8949 | |
Jimmie Marquette Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |