| Dr Eric J Fulnecky, MD | |
|
1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 | |
| (417) 820-3905 | |
| (417) 820-3528 |
| Full Name | Dr Eric J Fulnecky |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 26 Years |
| Location | 1900 S National Ave, Springfield, Missouri |
| 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 |
|---|---|---|---|
| 1922176635 | NPI | - | NPPES |
| 209153907 | Medicaid | MO | |
| P00207385 | Other | RAILROAD MEDICARE | |
| 431560263 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 2004006990 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Memorial Home Health | Bolivar, MO | Home health agency |
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Citizens Memorial Healthcare | 4183528169 | 108 |
| Select Specialty Hospital Springfield Inc | 9638250764 | 5 |
| Entity Name | Citizens Memorial Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric J Fulnecky, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Eric J Fulnecky, MD 1900 S National Ave, Suite 2955, Springfield, MO 65804-2265 Ph: (417) 820-3905 |
Mr. Sujan Poudel, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 | |
Dr. Mark H. Grimm, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Bradley D Wiley, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |