| Todd Gerlach, MD | |
|
4909 N Glen Park Place Rd, Peoria, IL 61614-4689 | |
| (309) 674-7546 | |
| (309) 282-0500 |
| Full Name | Todd Gerlach |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 31 Years |
| Location | 4909 N Glen Park Place Rd, 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 |
|---|---|---|---|
| 1518046044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 036105582 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soderstrom Dermatology Center S C. | 2062432651 | 33 |
| Entity Name | Soderstrom Dermatology Center S C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710931670 PECOS PAC ID: 2062432651 Enrollment ID: O20051128000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Gerlach, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4689 Ph: (309) 674-7546 | Todd Gerlach, MD 4909 N Glen Park Place Rd, Peoria, IL 61614-4689 Ph: (309) 674-7546 |
Mr. Glyn E. Jones, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545 | |
Dr. John E Lomax, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 | |
Dr. Tyler Andrew Evans, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Main St Ste 300, Peoria, IL 61606 Phone: 217-528-7541 |