Mr Prentiss Bernard Carter Iii, MD | |
5401 N Knoxville Ave, Suite 308, Peoria, IL 61614-5098 | |
(309) 692-5100 | |
(309) 692-1400 |
Full Name | Mr Prentiss Bernard Carter Iii |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 5401 N Knoxville Ave, Peoria, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992808489 | NPI | - | NPPES |
118779 | Other | IL | HEALTHLINK |
0007215713 | Other | IL | BLUE CROSS BLUE SHIELD |
036044919 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036044919 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Mr Prentiss Bernard Carter Iii, MD 5401 N Knoxville Ave, Suite 308, Peoria, IL 61614-5098 Ph: (309) 692-5100 | Mr Prentiss Bernard Carter Iii, MD 5401 N Knoxville Ave, Suite 308, Peoria, IL 61614-5098 Ph: (309) 692-5100 |
Dr. Michael Leonardi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4911 N Executive Dr, Suite 200, Peoria, IL 61614 Phone: 309-683-6700 Fax: 309-683-6722 | |
Charles Egley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4144 | |
Dr. Pilar Mckay Rainey, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak, Peoria, IL 61634 Phone: 309-655-4163 | |
Gary A Johnson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3000 | |
Mrs. Tamara L. Olt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614 Phone: 309-692-2805 Fax: 309-692-1913 | |
Dr. Rebecca Jane Byler Dann, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Illini Dr # 1649, Peoria, IL 61605 Phone: 309-655-3024 Fax: 309-655-3739 | |
Rida W Boulos, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637 Phone: 309-655-3024 |