Myron B Stachniw, MD | |
6000 N Allen Rd, Peoria, IL 61614-3294 | |
(309) 691-1400 | |
(309) 693-3197 |
Full Name | Myron B Stachniw |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 6000 N Allen Rd, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114911377 | NPI | - | NPPES |
036049846 | Medicaid | IL |
Entity Name | Midwest Orthopaedic Center S C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710938006 PECOS PAC ID: 8022917715 Enrollment ID: O20040106000226 |
Mailing Address | Practice Location Address |
---|---|
Myron B Stachniw, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 | Myron B Stachniw, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 |
Dr. Keith Thomas Corpus, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 | |
Dr. James R Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400 | |
Dr. Michael S Merkley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Rd, Peoria, IL 61614 Phone: 309-691-1400 | |
Jerome P Kraft, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 400, Peoria, IL 61614 Phone: 309-692-6644 | |
Dr. Brian Ted Maurer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045 | |
Dr. Robert Arthur Kinzinger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 | |
Dr. Mark R Phillips, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045 |