| Dr Owen Brewer, MD | |
|
530 Ne Glen Oak Ave Bldg 2624, Peoria, IL 61637-0001 | |
| (309) 655-6710 | |
| Not Available |
| Full Name | Dr Owen Brewer |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 530 Ne Glen Oak Ave Bldg 2624, 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 |
|---|---|---|---|
| 1497384861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301513372 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 125.076984 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Health Proctor Hospital | Peoria, IL | Hospital |
| Carle Health Pekin Hospital | Pekin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epmg Of Michigan Pc | 4789596339 | 108 |
| Entity Name | Epmg of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386688992 PECOS PAC ID: 4789596339 Enrollment ID: O20040211000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Owen Brewer, MD 5221 N Glen Elm Dr, Peoria Heights, IL 61616-5129 Ph: (303) 601-4108 | Dr Owen Brewer, MD 530 Ne Glen Oak Ave Bldg 2624, Peoria, IL 61637-0001 Ph: (309) 655-6710 |
Austin J Lamb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637 Phone: 309-655-7257 |
Philip A Fifield, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 |
Dr. Anthony J Buecker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5500 |
Dr. Mark Phillip Gaudio, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6710 |
Michael M Raso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Bourland Ave, Peoria, IL 61606 Phone: 309-264-0730 |
Joseph Devito, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave Bldg Room2620, Peoria, IL 61637 Phone: 309-655-6710 |
Ryan Newberger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 248-207-2018 |