| Mr James Murray Jeffries Iii, MD | |
|
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | |
| (309) 674-7546 | |
| (309) 282-0500 |
| Full Name | Mr James Murray Jeffries Iii |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 42 Years |
| Location | 4909 N Glen Park Place Rd, 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 |
|---|---|---|---|
| 1073655676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036.131119 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soderstrom Dermatology Center S C. | 2062432651 | 33 |
| Soderstrom Dermatology Center S C. | 2062432651 | 33 |
| Entity Name | Soderstrom Dermatology Center S C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710931670 PECOS PAC ID: 2062432651 Enrollment ID: O20051128000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Murray Jeffries Iii, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546 | Mr James Murray Jeffries Iii, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 674-7546 |
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. 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 |