Mr Eddie Lynn Paulk, DO | |
2090 Vadalabene Drive, Springfield, IL 62062 | |
(618) 288-5403 | |
(618) 288-6857 |
Full Name | Mr Eddie Lynn Paulk |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 2090 Vadalabene Drive, Springfield, 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 Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 120 |
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 2090 Vadalabene Drive, Springfield, IL 62062 Ph: (618) 288-5403 |
Zachariah Gurnsey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-8156 | |
Winston J Townsend, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 S Macarthur Blvd, Springfield, IL 62704 Phone: 217-789-1403 Fax: 217-789-1825 | |
William R Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-698-8012 | |
Dr. Susan M. O'neal, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-528-7541 | |
Dr. Mukul Bhattarai, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7877 | |
Nathalie Emma-marie Foray, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1229 |