| Dr David H Nathan, MD | |
|
221 Ne Glen Oak Ave, Radiology Dept, Peoria, IL 61636-0001 | |
| (765) 446-4819 | |
| Not Available |
| Full Name | Dr David H Nathan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 221 Ne Glen Oak Ave, 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 |
|---|---|---|---|
| 1831140607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036113078 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialists In Medical Imaging Sc | 2163733544 | 205 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
| Entity Name | Specialists In Medical Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David H Nathan, MD 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: (765) 466-4819 | Dr David H Nathan, MD 221 Ne Glen Oak Ave, Radiology Dept, Peoria, IL 61636-0001 Ph: (765) 446-4819 |
Dr. Lawrence C Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602 Phone: 309-494-9320 | |
Dr. Matthew Trent Carpenter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636 Phone: 309-672-5700 Fax: 309-671-2774 | |
Dr. Cameron Wailynn Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Robert T Bockel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602 Phone: 309-494-9320 | |
Dr. Steven J Ullenius, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Dr. Amanda Catherine Cross, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2000 | |
Dr. Derek Beatty, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7768 |