Philip A Fifield, MD | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-2553 | |
(309) 655-2602 |
Full Name | Philip A Fifield |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023042157 | NPI | - | NPPES |
800810 | Other | MEDICARE GROUP NO. | |
809840 | Other | IL | MEDICARE GROUP NUMBER |
809840040 | Other | IL | INDIVIDUAL MEDICARE NUMBER |
036071159 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-071159 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036-071159 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Philip A Fifield, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2000 | Philip A Fifield, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2553 |
Sarah R Koscica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686 | |
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Iram Yunus, Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580 | |
Gregory T Moskop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Julie Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1524 W Glen Ave, Peoria, IL 61614 Phone: 309-512-0902 | |
Christopher Reavis Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603 Phone: 309-680-7600 Fax: 309-495-8614 | |
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339 |