Mr Prentiss Bernard Carter Iii, MD - Obstetrics & Gynecology in Peoria, IL

Mr Prentiss Bernard Carter Iii, MD is a Obstetrics & Gynecology physician based in Peoria, Illinois. Mr Prentiss Bernard Carter Iii is licensed to practice in Illinois (license number 036044919) and his current practice location is 5401 N Knoxville Ave, Suite 308, Peoria, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 692-5100.

NPI number for Mr Prentiss Bernard Carter Iii is 1992808489 and his current mailing address is 5401 N Knoxville Ave, Suite 308, Peoria, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992808489.

Contact Information

Mr Prentiss Bernard Carter Iii, MD
5401 N Knoxville Ave, Suite 308,
Peoria, IL 61614-5098
(309) 692-5100
(309) 692-1400

Map and Direction




Physician's Profile

Full NameMr Prentiss Bernard Carter Iii
GenderMale
SpecialityObstetrics & Gynecology
Location5401 N Knoxville Ave, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992808489
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 08/29/2011

Medical Identifiers

Medical identifiers for Mr Prentiss Bernard Carter Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992808489NPI-NPPES
118779OtherILHEALTHLINK
0007215713OtherILBLUE CROSS BLUE SHIELD
036044919MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036044919 (Illinois)Primary

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. Mr Prentiss Bernard Carter Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
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

Reviews and Comments


Obstetrics & Gynecology Doctors in Peoria, IL

Dr. Michael Leonardi, M.D.
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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
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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.
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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    

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