| Dr Kenneth B Camacho, MD | |
|
1301 Pleasant Valley Rd Ste 401, Owensboro, KY 42303-9774 | |
| (270) 417-7800 | |
| (270) 417-7809 |
| Full Name | Dr Kenneth B Camacho |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 39 Years |
| Location | 1301 Pleasant Valley Rd Ste 401, Owensboro, Kentucky |
| 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 |
|---|---|---|---|
| 1750323424 | NPI | - | NPPES |
| 036101777 | Medicaid | IL | |
| 371221637 | Other | IL | FEDERAL TAX ID |
| IL0114 | Other | IL | JOHN DEERE |
| 07215152 | Other | IL | BLUE CROSS |
| 100014760 | Other | IL | RAILROAD MEDICARE |
| 426249 | Other | IL | HEALTHLINK |
| 067597 | Other | IL | HEALTH ALLIANCE |
| 776530 | Other | IL | MEDICARE GROUP NUMBER |
| 7036279 | Other | IL | AETNA HEALTH PLANS |
| 7100877910 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 57390 (Kentucky) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 036101777 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Pekin Memorial Hospital | Pekin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Entity Name | Pekin Prohealth Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Illinois Gastroenterology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth B Camacho, MD Po Box 365, Morton, IL 61550-0365 Ph: (309) 672-4980 | Dr Kenneth B Camacho, MD 1301 Pleasant Valley Rd Ste 401, Owensboro, KY 42303-9774 Ph: (270) 417-7800 |
David B. Olalekan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-4700 Fax: 270-417-4709 | |
Dr. Jacob S. Hodskins, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1000 Breckenridge St, Suite 400, Owensboro, KY 42303 Phone: 270-688-3445 Fax: 270-688-3344 | |
Dr. Adrian James Yeiser, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 811 E Parrish Ave, Owensboro, KY 42303 Phone: 270-688-3371 Fax: 270-688-3370 | |
Dr. Roshan K. Mathew, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3110 Fairview Dr, Owensboro, KY 42303 Phone: 270-240-2129 | |
Madison P Hardesty, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-4700 Fax: 270-417-4709 | |
Dr. David M Brey, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1000 Breckenridge St Ste 303, Owensboro, KY 42303 Phone: 270-688-5100 Fax: 270-688-5109 | |
Mahesh K. Moolani, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1200 Breckenridge St, Owensboro, KY 42303 Phone: 270-685-8224 Fax: 270-685-8228 |