Ninah Clegg-johnson, DO in Peoria, IL - Medicare Internal Medicine

Ninah Clegg-johnson, DO is a medicare enrolled "Internal Medicine" physician in Peoria, Illinois. She went to Marian University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice The Board Of Trustees Of The University Of Illinois and her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-3863.

Ninah Clegg-johnson is licensed to practice in Illinois (license number 125.070646) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568992873.

Contact Information

	Ninah Clegg-johnson, DO
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-3863
	Not Available

Map and Direction

Physician's Profile

Full Name	Ninah Clegg-johnson
Gender	Female
Speciality	Internal Medicine
Experience	7 Years
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ninah Clegg-johnson attended and graduated from Marian University College Of Osteopathic Medicine in 2017

NPI Data:

NPI Number: 1568992873
Provider Enumeration Date: 06/19/2017
Last Update Date: 01/14/2021

Medicare PECOS Information:

PECOS PAC ID: 9133493927
Enrollment ID: I20210714003141

Medical Identifiers

Medical identifiers for Ninah Clegg-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568992873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125.070646 (Illinois)	Secondary
207R00000X	Internal Medicine	125.070646 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Board Of Trustees Of The University Of Illinois	3072422716	923

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ninah Clegg-johnson allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Ninah Clegg-johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ninah Clegg-johnson, DO 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: () -	Ninah Clegg-johnson, DO 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-3863

Reviews and Comments

Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383

Ninah Clegg-johnson, DO - Medicare Internal Medicine in Peoria, IL