| Dr James W Phoenix, MD | |
|
1747 Henry Luckow Ln, Belvidere, IL 61008-1702 | |
| (815) 971-3030 | |
| (815) 971-9895 |
| Full Name | Dr James W Phoenix |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1747 Henry Luckow Ln, Belvidere, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700922267 | NPI | - | NPPES |
| F400205679 | Other | IL | MEDICARE PTAN |
| 036059274 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036059274 (Illinois) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James W Phoenix, MD 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 Ph: (815) 971-3030 | Dr James W Phoenix, MD 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 Ph: (815) 971-3030 |
Stephanie Ann Gorham Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 | |
Dr. Clayton R. Malaker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 Van Buren St, Belvidere, IL 61008 Phone: 815-544-3481 Fax: 815-544-3700 | |
Karen Joyce Englund, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1954 Gateway Center Dr, Belvidere, IL 61008 Phone: 815-547-3780 Fax: 815-547-3781 | |
Neal Kellenberger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 Fax: 815-544-4691 | |
Shin Chen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1003 Logan Ave, Belvidere, IL 61008 Phone: 815-547-1110 Fax: 815-544-1594 | |
Dr. David G Pocock, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2170 Pearl St, Belvidere, IL 61008 Phone: 815-547-5461 | |
Mary Simmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650 |