| Ashley Rodriguez, | |
|
112 Ne Crescent Ave, Peoria, IL 61606-1901 | |
| (309) 672-4670 | |
| Not Available |
| Full Name | Ashley Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 112 Ne Crescent Ave, 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 |
|---|---|---|---|
| 1780427005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085010770 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Health Methodist Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | Methodist Medical Center of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| 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 |
|---|---|
| Ashley Rodriguez, 112 Ne Crescent Ave, Peoria, IL 61606-1901 Ph: (309) 672-4670 | Ashley Rodriguez, 112 Ne Crescent Ave, Peoria, IL 61606-1901 Ph: (309) 672-4670 |
Ms. Courtney M Jaegle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670 Fax: 309-672-4669 |
Jacob Clark, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 |
Natalie Patty, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 |
Jacob Day, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Rd, Peoria, IL 61614 Phone: 309-691-1400 |
Rob Wimmer, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-9898 |
Abigail Rose Sutton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045 |
Josie Cathryn Jepson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1310 N Missouri Ave, Peoria, IL 61603 Phone: 309-308-3350 |