| Samuel Dean Fox, MD | |
|
3525 N University St, Peoria, IL 61604-1324 | |
| (309) 886-9172 | |
| (309) 509-4045 |
| Full Name | Samuel Dean Fox |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 19 Years |
| Location | 3525 N University St, 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 |
|---|---|---|---|
| 1881891240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME169992 (Florida) | Primary |
| 207V00000X | Obstetrics & Gynecology | 4301090776 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Solvera Healthcare Center Inc | 4981007226 | 12 |
| Entity Name | Solvera Healthcare Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588248249 PECOS PAC ID: 4981007226 Enrollment ID: O20210806002385 |
| Entity Name | Solvera Healthcare Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760113104 PECOS PAC ID: 4981007226 Enrollment ID: O20220711002297 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Dean Fox, MD Po Box 9727, Peoria, IL 61612-9727 Ph: (309) 886-9172 | Samuel Dean Fox, MD 3525 N University St, Peoria, IL 61604-1324 Ph: (309) 886-9172 |
Dr. Matthew Kevin Woodbury, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-2386 | |
Dr. Derek Michael Sonnenberg, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4775 | |
Cassandra Worrick, FNP General Practice Medicare: Medicare Enrolled Practice Location: 8914 N Praire Pointe, Peoria, IL 61615 Phone: 877-726-6494 | |
Sylwia Nowak, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 8600 State Route 91 Ste 330, Peoria, IL 61615 Phone: 309-308-2010 Fax: 309-308-2029 | |
Dr. Chinenye Chioma Anako, M.D., General Practice Medicare: Not Enrolled in Medicare Practice Location: 611 W Glen Ave Apt B, Peoria, IL 61614 Phone: 602-481-2040 |