| Dominique K Fons, MD | |
|
611 W Park St, Urbana, IL 61801-2500 | |
| (217) 383-3170 | |
| (217) 383-7650 |
| Full Name | Dominique K Fons |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 611 W Park St, Urbana, 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 |
|---|---|---|---|
| 1134391881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036127508 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| 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 | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique K Fons, MD 611 W. Park St, Bwpc, Urbana, IL 61803-6002 Ph: (217) 383-6792 | Dominique K Fons, MD 611 W Park St, Urbana, IL 61801-2500 Ph: (217) 383-3170 |
Anuja Bedi, D.O, M.P.H Family Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Sharon L. Moy, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801 Phone: 217-244-5324 | |
Simone R Hampton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3170 Fax: 217-383-7650 | |
Manada Khaing, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Stephen M Rudawski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3170 Fax: 217-383-7650 | |
Christian E Wagner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1818 E Windsor Rd, Urbana, IL 61802 Phone: 217-255-9670 Fax: 217-255-9650 | |
Muzammal Ahmed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 |