Dr Matthew Trent Carpenter, MD | |
221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636-0001 | |
(309) 672-5700 | |
(309) 671-2774 |
Full Name | Dr Matthew Trent Carpenter |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 37 Years |
Location | 221 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043298334 | NPI | - | NPPES |
202746801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | M2918 (Texas) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 036.126216 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Medical Center | Galesburg, IL | Hospital |
Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Illinois Cancer Treatment Center | 8527167485 | 2 |
Entity Name | Methodist Medical Center Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Central Illinois Radiation Oncology Physicians, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003857061 PECOS PAC ID: 2062426281 Enrollment ID: O20060126000809 |
Entity Name | Western Illinois Cancer Treatment Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417985011 PECOS PAC ID: 8527167485 Enrollment ID: O20080221000614 |
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 Matthew Trent Carpenter, MD 450 Mayo Dr, Galesburg, IL 61401-1211 Ph: (309) 672-5700 | Dr Matthew Trent Carpenter, MD 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636-0001 Ph: (309) 672-5700 |
Dr. Lawrence C Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602 Phone: 309-494-9320 | |
Dr. Cameron Wailynn Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Robert T Bockel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602 Phone: 309-494-9320 | |
Dr. Steven J Ullenius, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Dr. Amanda Catherine Cross, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2000 | |
Dr. Derek Beatty, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7768 |