Dr Wade Carlson, MD | |
5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | |
(309) 683-6600 | |
(309) 683-2412 |
Full Name | Dr Wade Carlson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 5114 N Glen Park Place Rd, 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 |
---|---|---|---|
1275557498 | NPI | - | NPPES |
IL01R8 | Other | IL | JOHN DEERE |
0361014441 | Medicaid | IL | |
472307 | Other | IL | HEALTHLINK |
P00187651 | Other | IL | RAILROAD MEDICARE |
095222 | Other | IL | HEALTH ALLIANCE |
7215059 | Other | IL | BCBS PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036101444 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Francis Medical Center | Peoria, IL | Home health agency |
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1543 |
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 Wade Carlson, MD 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 Ph: (309) 683-6600 | Dr Wade Carlson, MD 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 Ph: (309) 683-6600 |
Sarah R Koscica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686 | |
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Iram Yunus, Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580 | |
Gregory T Moskop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Julie Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1524 W Glen Ave, Peoria, IL 61614 Phone: 309-512-0902 | |
Christopher Reavis Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603 Phone: 309-680-7600 Fax: 309-495-8614 | |
Kari Beth Watts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 Main St, Peoria, IL 61602 Phone: 309-672-4977 |