| Dr Giovanni Colombo, MD | |
|
7309 N Knoxville Ave, Peoria, IL 61614-2085 | |
| (309) 692-9898 | |
| (309) 692-9055 |
| Full Name | Dr Giovanni Colombo |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 7309 N Knoxville 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 |
|---|---|---|---|
| 1679537831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036084610 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2220 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Giovanni Colombo, MD 7309 N Knoxville Ave, Peoria, IL 61614-2085 Ph: (309) 692-9898 | Dr Giovanni Colombo, MD 7309 N Knoxville Ave, Peoria, IL 61614-2085 Ph: (309) 692-9898 |
Jubilee Phan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St Ste 400, Peoria, IL 61606 Phone: 309-308-0920 Fax: 309-308-0930 | |
Dr. Robert Stuart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 | |
Dr. James Nicholas Kenny Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790 | |
Dr. Churphena Reid, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 201, Peoria, IL 61606 Phone: 309-495-0282 Fax: 309-495-0298 | |
Dr. Ted A Solomon, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 200 E Pennsylvania Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-7700 Fax: 309-624-8790 | |
Dr. Jose M Hernandez, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 Fax: 309-692-9055 |