| Leena Geetha Adhikesavan, MD | |
|
200 E Pennsylvania Ave, Peoria, IL 61603-3089 | |
| (309) 655-7900 | |
| (309) 655-7903 |
| Full Name | Leena Geetha Adhikesavan |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 27 Years |
| Location | 200 E Pennsylvania Ave, 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 |
|---|---|---|---|
| 1689735201 | NPI | - | NPPES |
| P00625598 | Other | IL | RR MEDICARE MEMBER PTAN |
| 809840 | Other | IL | MEDICARE GROUP PTAN |
| 036121503 | Medicaid | IL | |
| CA4079 | Other | IL | RR MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD428780 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Leena Geetha Adhikesavan, MD 200 E Pennsylvania Ave, Peoria, IL 61603-3089 Ph: (309) 655-7900 | Leena Geetha Adhikesavan, MD 200 E Pennsylvania Ave, Peoria, IL 61603-3089 Ph: (309) 655-7900 |
Riaz Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729 | |
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 | |
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 | |
Kumarpal Shrishrimal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 Phone: 309-676-8123 Fax: 309-676-8455 | |
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Christine C Perks, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 N Knoxville Ave, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-692-4730 |