Mary Elizabeth Ross

MD, PHD | Pediatric Hematology-Oncology | Female

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Complete Profile:

Mary Elizabeth Ross basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Mary Elizabeth Ross
Credential :	MD, PHD
Gender :	Female

Business Address:

Mary Elizabeth Ross address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	530 Ne Glen Oak Ave Peoria, IL, 61637 United States
Phone Number :	309-624-4945
Fax Number :	309-624-9848

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1841287588
NPI Entity Type :	Individual
First Enrolment Date :	27 Sep, 2005
Last Updated On :	21 Jul, 2022

Medicare Participation:

Mary Elizabeth Ross participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5799736559
Medicare Enrollment ID :	I20090223000588
Primary Specialty :	Hematology/oncology
Medical School :	State University Of New York At Buffalo School Of Medicine
Graduation Year :	1997
Accepts Medicare?	Yes. Mary Elizabeth Ross accepts medicare insurance.

Group Practice Association:

Mary Elizabeth Ross is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mary Elizabeth Ross is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Board Of Trustees Of The University Of Illinois	3072422716	891	1 Illini Dr Peoria, IL - 616052576 Ph: 3096713173	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Elizabeth Ross are as mentioned. Primary taxonomy code for Mary Elizabeth Ross, MD, PHD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	036.122072	IL

Legacy Identifiers:

Other legacy medical identifiers of Mary Elizabeth Ross such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2534850	MEDICAID	OH
036122072	MEDICAID	IL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	530 Ne Glen Oak Ave Peoria, IL, 61637-0001 United States
Phone Number :	309-624-4945
Fax Number :	309-624-9848

Business Location:

Patients can refer following map for directions to Mary Elizabeth Ross practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.