| Mr Eddie Lynn Paulk, DO | |
|
6812 State Route 162 Ste 21, Maryville, IL 62062-8565 | |
| (618) 288-5566 | |
| (618) 288-4005 |
| Full Name | Mr Eddie Lynn Paulk |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 6812 State Route 162 Ste 21, Maryville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003813601 | NPI | - | NPPES |
| 242830743 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R9H10 (Missouri) | Primary |
| 208D00000X | General Practice | R9H10 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Home Health Services | Maryville, IL | Home health agency |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Medical Group Llc | 5193792018 | 118 |
| Entity Name | Anderson Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eddie Lynn Paulk, DO 6810 State Route 162 Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405 | Mr Eddie Lynn Paulk, DO 6812 State Route 162 Ste 21, Maryville, IL 62062-8565 Ph: (618) 288-5566 |
Dr. Christopher Farrar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-4095 Fax: 618-288-2984 | |
Syed M Arshad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2227 Vadalabene Dr, Suite 100, Maryville, IL 62062 Phone: 618-288-1140 | |
Dr. Willis Ko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 102b, Maryville, IL 62062 Phone: 618-288-4076 Fax: 618-288-4215 | |
Dr. Samir K Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 102, Maryville, IL 62062 Phone: 618-288-4076 Fax: 618-288-4215 | |
Barbara Joy Foner, MD MPH FCCP ABSM Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Rte 162 Suite 202, Maryville, IL 62062 Phone: 618-288-6844 Fax: 618-288-6852 | |
Dr. Henry Purcell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 121, Maryville, IL 62062 Phone: 618-391-6910 |