| Dr Michael R Treanor, MD | |
|
1001 W Main St, Suite 500a, Peoria, IL 61606-1276 | |
| (309) 672-4980 | |
| (309) 671-2944 |
| Full Name | Dr Michael R Treanor |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 41 Years |
| Location | 1001 W Main St, 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 |
|---|---|---|---|
| 1255375200 | NPI | - | NPPES |
| 371221637 | Other | IL | FEDERAL TAX IDENTIFICATIO |
| IL0102 | Other | IL | JOHN DEERE |
| 4282522 | Other | IL | AETNA HEALTH PLANS |
| 036078786 | Medicaid | IL | |
| 10003734 | Other | IL | RAILROAD MEDICARE |
| 008849 | Other | IL | HEALTH ALLIANCE |
| 07215152 | Other | IL | BLUE CROSS |
| 165416 | Other | IL | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036078786 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Pekin Prohealth Inc | 1951214576 | 8 |
| 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 Michael R Treanor, MD Po Box 365, Morton, IL 61550-0365 Ph: (309) 672-4980 | Dr Michael R Treanor, MD 1001 W Main St, Suite 500a, Peoria, IL 61606-1276 Ph: (309) 672-4980 |
Riaz Shah, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729 | |
Dr. James Daniel Dewar, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 | |
Waqas Ali, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Sudhir Mungee, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 | |
Kumarpal Shrishrimal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 Phone: 309-676-8123 Fax: 309-676-8455 | |
Dr. Nikesh Kavi Patel, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Christine C Perks, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5405 N Knoxville Ave, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-692-4730 |