| Manuel I Doria Jr, MD | |
|
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
| (309) 624-9011 | |
| (309) 624-9152 |
| Full Name | Manuel I Doria Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 43 Years |
| Location | 530 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 |
|---|---|---|---|
| 1306879010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036068265 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Hopedale Hospital | Hopedale, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Illinois Pathology, Sc | 9133160450 | 11 |
| Entity Name | Central Illinois Pathology, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114970761 PECOS PAC ID: 9133160450 Enrollment ID: O20050517000934 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel I Doria Jr, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 624-9011 | Manuel I Doria Jr, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 624-9011 |
Dr. Andrew Brian Armstrong, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4920 | |
Dr. Amanda Youmans, D.O. Pathology Medicare: Not Enrolled in Medicare Practice Location: 506 E Seneca Pl, Peoria, IL 61603 Phone: 309-669-2000 | |
Pamela Pineda Goodell, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Department Of Pathology, Peoria, IL 61636 Phone: 309-672-4964 | |
Michael Dennis Lunt, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9011 Fax: 309-624-9152 | |
Allan C Campbell, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5409 N Knoxville Ave, Peoria, IL 61614 Phone: 309-691-1060 | |
Michael P Hayes, Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9011 Fax: 309-624-9152 | |
Ronald Winek, Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-9011 |