| Dr Roy K Werner Sr, MD, MS | |
|
13448 S. Cicero Avenue, Crestwood, IL 60445 | |
| (708) 682-3384 | |
| (708) 682-3385 |
| Full Name | Dr Roy K Werner Sr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 13448 S. Cicero Avenue, Crestwood, 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 |
|---|---|---|---|
| 1518952969 | NPI | - | NPPES |
| 34711600 | Medicaid | WI | |
| 0439125 | Medicaid | IA | |
| 36372 | Other | IA | WELLMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036115221 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellnow Urgent Care, P.c. | 8325320864 | 374 |
| Entity Name | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| 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 | Physicians Immediate Care North Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Genesis Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427132604 PECOS PAC ID: 6103829338 Enrollment ID: O20060824000219 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Community First Healthcare Of Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881059897 PECOS PAC ID: 2860716685 Enrollment ID: O20160104001552 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Epss Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Entity Name | Wellnow Urgent Care, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20190320001131 |
| Entity Name | New Rose Healthcare Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043816515 PECOS PAC ID: 4981010048 Enrollment ID: O20210316000179 |
| Entity Name | Epss, Llc- Metro Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782305 PECOS PAC ID: 6608266713 Enrollment ID: O20211203002440 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy K Werner Sr, MD, MS 10782 Greywall Ln, Huntley, IL 60142-4070 Ph: (847) 669-5653 | Dr Roy K Werner Sr, MD, MS 13448 S. Cicero Avenue, Crestwood, IL 60445 Ph: (708) 682-3384 |