| Jessica N Mistretta, DO | |
|
8600 State Route 91 Ste 200, Peoria, IL 61615-7833 | |
| (309) 692-1030 | |
| (309) 691-3241 |
| Full Name | Jessica N Mistretta |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 5 Years |
| Location | 8600 State Route 91 Ste 200, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033731500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036163468 (Illinois) | Primary |
| 208000000X | Pediatrics | 125.076260 (Illinois) | Secondary |
| 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 |
|---|---|---|
| Michael D. Tarantino, M.d. S.c. | 6800950833 | 4 |
| Entity Name | Michael D. Tarantino, M.d. S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740430784 PECOS PAC ID: 6800950833 Enrollment ID: O20090205000359 |
| Entity Name | The Bleeding And Clotting Disorders Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134424633 PECOS PAC ID: 6608051230 Enrollment ID: O20110426000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica N Mistretta, DO 123 Edgar St, Lincoln, IL 62656-1514 Ph: (573) 808-3508 | Jessica N Mistretta, DO 8600 State Route 91 Ste 200, Peoria, IL 61615-7833 Ph: (309) 692-1030 |
Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 | |
Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000 |