| Brad A Stoecker, MD | |
|
401 N Main St, Roanoke, IL 61561-7516 | |
| (309) 923-2661 | |
| (309) 923-7628 |
| Full Name | Brad A Stoecker |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 401 N Main St, Roanoke, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508887860 | NPI | - | NPPES |
| 036116395 | Medicaid | IL | |
| CA2182 | Other | IL | RR MEDICARE GROUP PTAN (PONTIAC) |
| 809840 | Other | IL | MEDICARE GROUP # |
| P00406153 | Other | RR MEDICARE IND. # | |
| 833230 | Other | GROUP # FOR PONTIAC | |
| CA4079 | Other | RR MEDICARE GROUP # | |
| P00601872 | Other | IL | RR MEDICARE IND PTAN (PONTIAC) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-116395 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Francis Medical Center | Peoria, IL | Home health agency |
| Osf Home Health-eastern Region | Normal, IL | Home health agency |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Advocate Eureka Hospital | Eureka, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint James Hospital | 0648187252 | 58 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Saint James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad A Stoecker, MD 401 N Main St, Roanoke, IL 61561-7516 Ph: (309) 923-2661 | Brad A Stoecker, MD 401 N Main St, Roanoke, IL 61561-7516 Ph: (309) 923-2661 |
Erica Nicole Svendsen, APRN,CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 |