| Edrick Jordan Ferguson, MD | |
|
210 W Walnut St, Canton, IL 61520-2444 | |
| (309) 647-5240 | |
| Not Available |
| Full Name | Edrick Jordan Ferguson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 210 W Walnut St, Canton, 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 |
|---|---|---|---|
| 1659365872 | NPI | - | NPPES |
| 1508037 | Medicaid | TN | |
| 000000270956 | Other | OH | ANTHEM |
| 4191954 | Other | TN | BLUE CROSS BLUE SHIELD |
| P00468253 | Other | RAILROAD MEDICARE | |
| 30885811 | Medicaid | TN | |
| 2383924 | Medicaid | OH | |
| 4166295 | Other | TN | BCBS PROVIDER NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Graham Hospital Association | Canton, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Mc Donough District Hospital | Macomb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 112 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Entity Name | Carle Bromenn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187 |
| Entity Name | Carle Eureka Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184644023 PECOS PAC ID: 3870914393 Enrollment ID: O20230829003397 |
| Mailing Address | Practice Location Address |
|---|---|
| Edrick Jordan Ferguson, MD 611 W Park St, Urbana, IL 61801-2500 Ph: () - | Edrick Jordan Ferguson, MD 210 W Walnut St, Canton, IL 61520-2444 Ph: (309) 647-5240 |
Muhammad A Zaheer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 210 W Walnut St, Canton, IL 61520 Phone: 309-647-5240 |