| Dr Derek Martinez, MD | |
|
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
| (309) 655-2642 | |
| Not Available |
| Full Name | Dr Derek Martinez |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 14 Years |
| Location | 530 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 |
|---|---|---|---|
| 1043506942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 125060255 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| St Luke's Mccall | Mccall, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Martinez, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: () - | Dr Derek Martinez, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2642 |
Patrick William Elwood, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 Phone: 309-676-0766 Fax: 309-676-5920 | |
Dr. Paul Miles Macmahon, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: Osf St Francis Medical Ctr, 530 N.e. Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2642 | |
Julian Jwchun Lin, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 Fax: 309-624-4010 | |
Dr. Andres L Maldonado, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 093-624-4000 Fax: 309-624-4010 | |
Dr. Todd David Mccall, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 Fax: 309-624-4010 | |
Dzung Hong Dinh, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 Phone: 309-676-0766 Fax: 309-676-5920 |