Dr George Kenneth Shotick Jr, MD - Medicare Family Medicine in Peoria, IL

Dr George Kenneth Shotick Jr, MD is a medicare enrolled "Family Medicine" physician in Peoria, Illinois. His current practice location is 228 Ne Jefferson Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 671-8000.

Dr George Kenneth Shotick Jr is licensed to practice in Illinois (license number 036-059533) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104941657.

Contact Information

Dr George Kenneth Shotick Jr, MD
228 Ne Jefferson Ave,
Peoria, IL 61603-3802
(309) 671-8000
(309) 671-4695



Physician's Profile

Full NameDr George Kenneth Shotick Jr
GenderMale
SpecialityFamily Medicine
Location228 Ne Jefferson Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104941657
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 02/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5395913446
  • Enrollment ID: I20110718000115

Medical Identifiers

Medical identifiers for Dr George Kenneth Shotick Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104941657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-059533 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr George Kenneth Shotick Jr allows following entities to bill medicare on his behalf.
Entity NameHuman Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881630689
PECOS PAC ID: 6901896968
Enrollment ID: O20040513000449

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr George Kenneth Shotick Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr George Kenneth Shotick Jr, MD
228 Ne Jefferson Ave,
Peoria, IL 61603-3802

Ph: (309) 671-8000
Dr George Kenneth Shotick Jr, MD
228 Ne Jefferson Ave,
Peoria, IL 61603-3802

Ph: (309) 671-8000

News Archive

Genes add up risk of autoimmune disease

Geneticists have identified a link between the number of copies of a specific gene an individual has and their susceptibility to autoimmune diseases like lupus.

Brass products in plumbing systems leach high levels of lead into drinking water

A new research study co-spearheaded by Virginia Tech researchers highlights problems with some brass products in plumbing systems that can leach high levels of lead into drinking water, even in brand new buildings - and suggests that such problems may often go undetected.

Houston Methodist neurologist offers three tips for better sleep

More than one-third of Americans get less than seven hours of sleep each night, putting them at risk for serious, chronic health conditions such as diabetes, heart disease and obesity. The real victim of a lack of sleep, however, is the brain.

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Family Medicine Doctors in Peoria, IL

Sarah R Koscica, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1701 W Garden St, Peoria, IL 61605
Phone: 309-680-7600    Fax: 309-680-7686
Karen Cadet-saintilus, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614
Phone: 309-683-5700    Fax: 309-683-5752
Iram Yunus,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 815 Main St Ste A, Peoria, IL 61602
Phone: 309-672-4977    Fax: 309-672-2580
Gregory T Moskop, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614
Phone: 309-683-5700    Fax: 309-683-5752
Julie Wagner,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1524 W Glen Ave, Peoria, IL 61614
Phone: 309-512-0902    
Christopher Reavis Johnson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2321 N Wisconsin Ave, Peoria, IL 61603
Phone: 309-680-7600    Fax: 309-495-8614
Mrs. Vanessa Lauren Roof, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614
Phone: 844-341-2339    

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