| Kenneth R Krock, MD | |
|
180 S Main St, Canton, IL 61520-2608 | |
| (309) 647-0201 | |
| (309) 649-6880 |
| Full Name | Kenneth R Krock |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 180 S Main 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 |
|---|---|---|---|
| 1699883868 | NPI | - | NPPES |
| 079829 | Other | IL | OSF HEALTHPLANS |
| CG5172 | Other | IL | RR MEDICARE GROUP# |
| 02922981 | Other | IL | BCBS |
| 200397 | Other | IL | BLACK LUNG |
| 013495 | Other | IL | HEALTH ALLIANCE |
| 036079829 | Medicaid | IL | |
| 194215197 | Other | IL | NPI CLINIC NUMBER |
| 0062839 | Other | IL | UMWA |
| 110200867 | Other | IL | RR MEDICARE PIN |
| 180741 | Other | IL | HEALTH LINK |
| IL0104 | Other | IL | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036079829 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036079829 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spoon River Home Hlth Services | Farmington, IL | Home health agency |
| Western Ill Home Hlth Care In | Monmouth, IL | Home health agency |
| Hospice Compassus - Northwest Illinois | Galesburg, IL | Hospice |
| Graham Hospital Association | Canton, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Mason District Hospital | Havana, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Renaissance Care Center | Canton, IL | Nursing home |
| Graham Hospital | Canton, IL | Nursing home |
| Loft Rehab & Nursing Of Canton | Canton, IL | Nursing home |
| Clayberg, The | Cuba, IL | Nursing home |
| Sunset Rehabilitation & Hlth C | Canton, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Graham Hospital Association | 2769375021 | 112 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Krock, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Kenneth R Krock, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
John M Mccarthy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-8949 | |
Jimmie Marquette Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Dr. Philip James Mead, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-672-5682 Fax: 309-672-3147 |