| Dr Edward W Pegg Iv, MD | |
|
2204 Eastland Dr, Bloomington, IL 61704-3567 | |
| (309) 661-6900 | |
| (309) 661-6990 |
| Full Name | Dr Edward W Pegg Iv |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 13 Years |
| Location | 2204 Eastland Dr, Bloomington, 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 |
|---|---|---|---|
| 1215273131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036141863 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| 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 |
|---|---|
| Dr Edward W Pegg Iv, MD 611 W Park St, Fapc, Urbana, IL 61801 Ph: (217) 383-3311 | Dr Edward W Pegg Iv, MD 2204 Eastland Dr, Bloomington, IL 61704-3567 Ph: (309) 661-6900 |
George Massey, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 | |
Edward W Pegg Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2204 Eastland Dr, Bloomington, IL 61704 Phone: 309-661-6900 | |
Asifa Choudhry, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Fl 2, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 | |
Barry Jay Riskin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Bloomington, IL 61704 Phone: 309-385-7010 | |
Brandon Jeremy Greenfield, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 | |
Dr. Gil B Abelita, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 |