| Jonathan Nitz, MD | |
|
624 Ne Glen Oak Ave, Room 2670, Peoria, IL 61603-3135 | |
| (309) 655-3971 | |
| Not Available |
| Full Name | Jonathan Nitz |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 10 Years |
| Location | 624 Ne Glen Oak Ave, 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 |
|---|---|---|---|
| 1548611924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 125.069354 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Physician Group Llc | 9537291323 | 90 |
| Entity Name | Specialty Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174842181 PECOS PAC ID: 9537291323 Enrollment ID: O20100714000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Nitz, MD 2110 W Geneva Rd, Peoria, IL 61615-6204 Ph: (502) 320-4248 | Jonathan Nitz, MD 624 Ne Glen Oak Ave, Room 2670, Peoria, IL 61603-3135 Ph: (309) 655-3971 |
Alexandra Roper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Charles Aprahamian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-3800 Fax: 309-655-3948 | |
Dr. Andy C. Chiou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Ms. Delinda Demita Wills, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Mr. James Murray Jeffries Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-282-0500 | |
Mr. Julius P. Bonello, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, Suite 300, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Dr. Jeffrey L Williamson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 530, Peoria, IL 61602 Phone: 309-672-5975 Fax: 309-655-1678 |