| Shobha Nookala, MD | |
|
900 Main St, Suite 400, Peoria, IL 61602-1005 | |
| (309) 672-3100 | |
| Not Available |
| Full Name | Shobha Nookala |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 37 Years |
| Location | 900 Main St, Peoria, 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 |
|---|---|---|---|
| 1154336691 | NPI | - | NPPES |
| 7215059 | Other | IL | BCBS PPO |
| 472292 | Other | IL | HEALTHLINK |
| 088318 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Health Methodist Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle Health Care Incorporated | 3577515774 | 1592 |
| Methodist Medical Center Of Illinois | 1355259714 | 387 |
| 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 | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Shobha Nookala, MD 5100 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (309) 672-4809 | Shobha Nookala, MD 900 Main St, Suite 400, Peoria, IL 61602-1005 Ph: (309) 672-3100 |
Karen Margaret Kyle, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 |
Dr. Douglas Juvinall, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 |
Arun C Pinto, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 228 Ne Jefferson, Peoria, IL 61603 Phone: 309-671-8000 Fax: 309-671-4695 |
Dr. M. Teresa C. Fraser, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Garden Street, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7637 |
Shubhada Reddy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-495-1640 |
Nicholas James Rogers, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Peoria, IL 61602 Phone: 309-672-3100 |
Jasira Barrientos, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-3100 |