| Brandon Bockewitz, MD | |
|
5401 N Knoxville Ave Ste 112, Peoria, IL 61614-5021 | |
| (309) 693-2020 | |
| (309) 683-8850 |
| Full Name | Brandon Bockewitz |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 19 Years |
| Location | 5401 N Knoxville Ave Ste 112, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619199627 | NPI | - | NPPES |
| 036121479 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036121479 (Illinois) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 036121479 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Proctor Health Systems | 3476440173 | 125 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Bockewitz, MD 5100 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (309) 672-4809 | Brandon Bockewitz, MD 5401 N Knoxville Ave Ste 112, Peoria, IL 61614-5021 Ph: (309) 693-2020 |
Sarah R Koscica, MD Family Medicine Medicare: Accepting Medicare Assignments 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: Not Enrolled in Medicare Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580 | |
Melanie Andrews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd Ste 101b, Peoria, IL 61614 Phone: 309-740-4232 | |
Gregory T Moskop, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339 | |
Ms. Aneta Monika Kowalska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3915 Barring Trce, Peoria, IL 61615 Phone: 309-689-3030 |