| Myron B Stachniw, MD | |
|
6000 N Allen Rd, Peoria, IL 61614-3294 | |
| (309) 691-1400 | |
| (309) 693-3197 |
| Full Name | Myron B Stachniw |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 6000 N Allen Rd, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114911377 | NPI | - | NPPES |
| 036049846 | Medicaid | IL |
| Entity Name | Midwest Orthopaedic Center S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710938006 PECOS PAC ID: 8022917715 Enrollment ID: O20040106000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Myron B Stachniw, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 | Myron B Stachniw, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400 |
Dr. Brent C Johnson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400 | |
Dr. Keith Thomas Corpus, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 | |
Dr. James R Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400 | |
Dr. Michael S Merkley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Rd, Peoria, IL 61614 Phone: 309-691-1400 | |
Dr. Thomas J Mulvey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400 | |
Jerome P Kraft, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 400, Peoria, IL 61614 Phone: 309-692-6644 | |
John Paul Livingstone, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603 Phone: 309-655-3800 Fax: 309-655-3948 |