| Dr Richard Anderson, MD | |
|
1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | |
| (309) 495-0200 | |
| (309) 676-6545 |
| Full Name | Dr Richard Anderson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 1001 Main Street, 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 |
|---|---|---|---|
| 1699703892 | NPI | - | NPPES |
| 036095602-1 | Medicaid | IL | |
| 020046522 | Other | IL | RR MEDICARE |
| 7215166 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036095602 (Illinois) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036095602 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| 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 | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295785632 PECOS PAC ID: 9032021258 Enrollment ID: O20060307000310 |
| 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 Richard Anderson, MD 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 Ph: (309) 495-0200 | Dr Richard Anderson, MD 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 Ph: (309) 495-0200 |
Paul A Siebert, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St, Suite 300, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-353-4380 | |
Dr. James Bertram Williams, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2420 W Nebraska Ave, Peoria, IL 61604 Phone: 309-680-5000 Fax: 309-680-1002 | |
Dr. Mark D Plunkett, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave Ste 301, Suite 301, Peoria, IL 61603 Phone: 309-655-3453 Fax: 309-624-3852 |