| Roby Adhinayak Lal, DO | |
|
221 Ne Glen Oak Ave, Peoria, IL 61636-0002 | |
| (309) 672-5702 | |
| (309) 671-2774 |
| Full Name | Roby Adhinayak Lal |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 36 Years |
| Location | 221 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 |
|---|---|---|---|
| 1811983489 | NPI | - | NPPES |
| 0361160072 | Medicaid | IL | |
| CM5868 | Other | IL | RAILROAD MEDICARE |
| 001522959 | Medicaid | PA | |
| P00334468 | Other | RAILROAD MEDICARE PIN | |
| P00609726 | Other | RAILROAD MEDICARE PART B PTAN | |
| 014885 | Other | IL | HEALTH ALLIANCE INS. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | OS007227L (Pennsylvania) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 036-116007 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Galesburg, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Saint Francis Medical Center | 9032021258 | 27 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295785632 PECOS PAC ID: 9032021258 Enrollment ID: O20060307000310 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Roby Adhinayak Lal, DO 221 Ne Glen Oak Ave, Peoria, IL 61636-0002 Ph: (309) 672-5702 | Roby Adhinayak Lal, DO 221 Ne Glen Oak Ave, Peoria, IL 61636-0002 Ph: (309) 672-5702 |
Dr. Lawrence C Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602 Phone: 309-494-9320 | |
Dr. Matthew Trent Carpenter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636 Phone: 309-672-5700 Fax: 309-671-2774 | |
Dr. Cameron Wailynn Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Robert T Bockel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602 Phone: 309-494-9320 | |
Dr. Steven J Ullenius, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Dr. Amanda Catherine Cross, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2000 | |
Dr. Derek Beatty, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7768 |