Michael Johnson, MD | |
8914 N Knoxville Ave, Peoria, IL 61615-1410 | |
(309) 691-9110 | |
Not Available |
Full Name | Michael Johnson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 8914 N Knoxville Ave, 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 |
---|---|---|---|
1285640276 | NPI | - | NPPES |
IL01F7 | Other | IL | JOHN DEERE |
0360880344 | Medicaid | IL | |
068159 | Other | IL | HEALTH ALLIANCE |
7215059 | Other | IL | BCBS PPO |
472307 | Other | IL | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proctor Health Systems | 3476440173 | 124 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Proctor Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Entity Name | Belcrest Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245275312 PECOS PAC ID: 9335037217 Enrollment ID: O20040310001103 |
Entity Name | Epss Peoria Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
Entity Name | Epss Llc - Central Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
Mailing Address | Practice Location Address |
---|---|
Michael Johnson, MD 5100 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (309) 672-4809 | Michael Johnson, MD 8914 N Knoxville Ave, Peoria, IL 61615-1410 Ph: (309) 691-9110 |
Dr. Austin Lamb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637 Phone: 309-655-7257 | |
Philip A Fifield, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Dr. Anthony J Buecker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5500 | |
Dr. Mark Phillip Gaudio, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6710 | |
Michael M Raso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Bourland Ave, Peoria, IL 61606 Phone: 309-264-0730 | |
Ryan Newberger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 248-207-2018 | |
Craig D Koch, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 |