Dr Joshua Bradley Kentosh, DO in Peoria, IL

Dr Joshua Bradley Kentosh, DO is a medicare enrolled "Dermatology" physician in Peoria, Illinois. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2007 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Soderstrom Dermatology Center S C., Soderstrom Dermatology Center S C. and his current practice location is 4909 N. Glen Park Place, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 674-7546.

Dr Joshua Bradley Kentosh is licensed to practice in Illinois (license number 036.142442) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902096928.

Contact Information

	Dr Joshua Bradley Kentosh, DO
	4909 N. Glen Park Place, Peoria, IL 61614-4676
	(309) 674-7546
	(309) 691-9286

Map and Direction

Physician's Profile

Full Name	Dr Joshua Bradley Kentosh
Gender	Male
Speciality	Dermatology
Experience	18 Years
Location	4909 N. Glen Park Place, 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.

Medical Education and Training:

Dr Joshua Bradley Kentosh attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2007

NPI Data:

NPI Number: 1902096928
Provider Enumeration Date: 07/26/2007
Last Update Date: 07/12/2018

Medicare PECOS Information:

PECOS PAC ID: 1355571787
Enrollment ID: I20170511002290

Medical Identifiers

Medical identifiers for Dr Joshua Bradley Kentosh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902096928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	036.142442 (Illinois)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	036.142442 (Illinois)	Secondary
207N00000X	Dermatology	036.142442 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr	Ottawa, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Soderstrom Dermatology Center S C.	2062432651	33
Soderstrom Dermatology Center S C.	2062432651	33

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Joshua Bradley Kentosh allows following entities to bill medicare on his behalf.

Entity Name	Soderstrom Dermatology Center S C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710931670 PECOS PAC ID: 2062432651 Enrollment ID: O20051128000693

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joshua Bradley Kentosh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Joshua Bradley Kentosh, DO 4909 N. Glen Park Place, Peoria, IL 61614-4676 Ph: (309) 674-7546	Dr Joshua Bradley Kentosh, DO 4909 N. Glen Park Place, Peoria, IL 61614-4676 Ph: (309) 674-7546

Reviews and Comments

Dermatology Doctors in Peoria, IL

Taylor Marie Wells, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-712-4193
Dr. Carl William Soderstrom Jr., M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546
Dr. Janeen Noelle Buonaccorsi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9052
Dr. Tesfu Hailu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-691-9286
Christopher T Kroodsma, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903 Fax: 309-691-2909
Ashley Steffens, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5401 N Knoxville Ave, Peoria, IL 61614 Phone: 093-691-2903 Fax: 309-691-2909
Harry C Stone, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614 Phone: 309-691-2903

Dr Joshua Bradley Kentosh, DO - Medicare Dermatology in Peoria, IL