Mr James Murray Jeffries Iii, MD | |
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | |
(309) 674-7546 | |
(309) 282-0500 |
Full Name | Mr James Murray Jeffries Iii |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 41 Years |
Location | 4909 N Glen Park Place Rd, 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 |
---|---|---|---|
1073655676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036.131119 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Proctor Hospital | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Soderstrom Dermatology Center S C. | 2062432651 | 29 |
Soderstrom Dermatology Center S C. | 2062432651 | 29 |
Entity Name | Soderstrom Dermatology Center S C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710931670 PECOS PAC ID: 2062432651 Enrollment ID: O20051128000693 |
Mailing Address | Practice Location Address |
---|---|
Mr James Murray Jeffries Iii, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546 | Mr James Murray Jeffries Iii, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546 |
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. 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 | |
Jessica L Secor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7725 N Knoxville Ave, Peoria, IL 61614 Phone: 309-495-0250 Fax: 309-689-9035 |