| Mrs Jean Pe, MD | |
|
1302 Franklin Ave, Normal, IL 61761-3551 | |
| (209) 956-7725 | |
| Not Available |
| Full Name | Mrs Jean Pe |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 47 Years |
| Location | 1302 Franklin Ave, Normal, 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 |
|---|---|---|---|
| 1548228661 | NPI | - | NPPES |
| 00A409430 | Medicaid | CA | |
| P00352317 | Other | CA | RAILROAD MEDICARE |
| 00A409430 | Other | CA | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036-164719 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | A40943 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Merced, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 107 |
| Core Anesthesia Provider Services Pc | 7719367093 | 11 |
| Entity Name | Madhu K. Kris, M.d., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114195229 PECOS PAC ID: 5294779005 Enrollment ID: O20050613001146 |
| Entity Name | Bear Creek Anesthesia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154389146 PECOS PAC ID: 6002826518 Enrollment ID: O20060427000806 |
| Entity Name | Premier Anesthesia Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
| Entity Name | Cep America - Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
| Entity Name | Core Anesthesia Provider Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538800388 PECOS PAC ID: 7719367093 Enrollment ID: O20220705000130 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jean Pe, MD 1302 Franklin Ave, Normal, IL 61761-3551 Ph: (209) 956-7725 | Mrs Jean Pe, MD 1302 Franklin Ave, Normal, IL 61761-3551 Ph: (209) 956-7725 |
Dr. Saravanakumar Manickam, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Dr. Sabita Reddy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Ste 240, Normal, IL 61761 Phone: 309-268-9300 Fax: 309-268-0575 | |
Nancy Davis, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 240, Normal, IL 61761 Phone: 309-268-9300 Fax: 309-268-0575 | |
Dr. Marco Ramon Del Castillo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Donald Joseph Warner, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1116 E Ironwood Dr, Normal, IL 61761 Phone: 309-287-9270 | |
Evan Kapanga, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 708-216-9169 |