| Fredrick Oakley, MD, PH D | |
|
2701 17th St, Rock Island, IL 61201-5351 | |
| (093) 779-2127 | |
| (309) 779-2137 |
| Full Name | Fredrick Oakley |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 14 Years |
| Location | 2701 17th St, Rock Island, 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 |
|---|---|---|---|
| 1235429085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036.142587 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity - Rock Island | Rock island, IL | Hospital |
| Trinity Muscatine | Muscatine, IA | Hospital |
| Trinity - Bettendorf | Bettendorf, IA | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peoria Tazewell Pathology Group, S.c. | 1254228711 | 17 |
| Peoria Tazewell Pathology Group, S.c. | 1254228711 | 17 |
| Entity Name | Peoria Tazewell Pathology Group, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578597738 PECOS PAC ID: 1254228711 Enrollment ID: O20040301000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Fredrick Oakley, MD, PH D 2146 Belcourt Ave, Nashville, TN 37212-3504 Ph: () - | Fredrick Oakley, MD, PH D 2701 17th St, Rock Island, IL 61201-5351 Ph: (093) 779-2127 |
Ruonan Zhang, Pathology Medicare: May Accept Medicare Assignments Practice Location: 2701 17th St, Rock Island, IL 61201 Phone: 803-237-4571 | |
Dr. Michael Anthony Dimaio, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2701 17th St, Pathology, Rock Island, IL 61201 Phone: 309-779-2541 Fax: 844-331-8743 |