Emilee Jo Bocker, M.D.
Individual provider Active NPI Family Medicine Physician · Amboy, IL
NPI 1265726327 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1265726327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036.134064 (IL)
- Practice address
- 305 E Joe Dr
Amboy, IL 61310 - Phone
- (815) 857-3044
- Fax
- (815) 857-2010
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
102 S Hennepin Ave
Suite 201
Dixon, IL 61021-3013
Phone (815) 288-7711
1840 1St Ave
Sterling, IL 61081-1202
Phone (779) 251-6100
305 Joe Dr E
Amboy, IL 61310-9492
Phone (815) 857-3044
403 E 1St St
Dixon, IL 61021-3116
Phone (815) 288-5531
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Healthcare Home Care
- Osf Saint Katharine Medical Center
- Osf Saint Clare Medical Center
- CGH Medical Center
- Saint Anthony Medical Center
- Osf Saint Paul Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.78 of 100
- Quality
- 60.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140710002391 | IL | Practitioner - Family Practice |
8628293495 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134064 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| KSB Medical Group, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Katherine Shaw Bethea Hospital | Current |
Accepting new patients | |
| KSB Medical Group, Inc. | Current |
Accepting new patients |
Locations
305 Joe Dr E
Amboy, IL 61310
Phone (815) 857-3044
215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900
102 S Hennepin Ave
Dixon, IL 61021
Phone (815) 285-8520
403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629
215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.134064 | IL | |
| Family Medicine Physician | 207Q00000X | 036.134064 | IL | Yes |
Addresses
Primary practice location
305 E Joe Dr
Amboy, IL 61310
Mailing address
305 E Joe Dr
Amboy, IL 61310
Phone (815) 857-3044
Other practice location 1
102 S Hennepin Ave
Dixon, IL 61021-3013
Phone (815) 285-8520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036134064 | Medicaid | IL | |
| F400168653 | Other | IL | MEDICARE-KATHERINE SHAW BETHEA HOSPITAL |
| F400148570 | Other | IL | MEDICARE-KSB MED GROUP |
Other providers in Amboy, IL
- Amboy Fire Protection District
- Amboy Nursing Acquisition & Management LLC
- Aperion Care Amboy LLC
- Colin Peter Baker
- Amy Anita Blobaum
- Marcy Cline
- Kurt R Crowe
- Firas Rabih Darwiche
- Jenna Didier
- Green Acres Healthcare and Rehab Center
All providers in Amboy, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.