John R Soderstrom, PA in Peoria, IL - Medicare Physician Assistant

John R Soderstrom, PA is a medicare enrolled "Physician Assistant" in Peoria, Illinois. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Soderstrom Dermatology Center S C. and his current practice location is 4909 N Glen Park Place Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 674-7546.

John R Soderstrom is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871506931.

Contact Information

	John R Soderstrom, PA
	4909 N Glen Park Place Rd, Peoria, IL 61614-4676
	(309) 674-7546
	Not Available

Map and Direction

Provider's Profile

Full Name	John R Soderstrom
Gender	Male
Speciality	Physician Assistant
Experience	18 Years
Location	4909 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John R Soderstrom graduated from nursing school in 2006

NPI Data:

NPI Number: 1871506931
Provider Enumeration Date: 08/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6406858125
Enrollment ID: I20100714000295

Medical Identifiers

Medical identifiers for John R Soderstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871506931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Soderstrom Dermatology Center S C.	2062432651	29

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. John R Soderstrom 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
John R Soderstrom, PA 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546	John R Soderstrom, PA 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546

Reviews and Comments

Physician Assistant Nurses in Peoria, IL

Ms. Courtney M Jaegle, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670 Fax: 309-672-4669
Jacob Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Natalie Patty, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700
Rob Wimmer, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898
Abigail Rose Sutton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045
Josie Cathryn Jepson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 N Missouri Ave, Peoria, IL 61603 Phone: 309-308-3350
Richard S Seaboch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5405 N Knoxville Ave, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830

John R Soderstrom, PA - Medicare Physician Assistant in Peoria, IL