| Dr Eva A Hurst, MD | |
|
390 Office Court, Fairview Heights, IL 62208 | |
| (618) 233-7666 | |
| (618) 233-7461 |
| Full Name | Dr Eva A Hurst |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 390 Office Court, Fairview Heights, 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 |
|---|---|---|---|
| 1023220464 | NPI | - | NPPES |
| ENROLLED | Medicaid | IL | |
| 207346008 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 2007020114 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Belleville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Distinctive Dermatology Ltd | 1850365842 | 5 |
| Entity Name | Distinctive Dermatology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518028398 PECOS PAC ID: 1850365842 Enrollment ID: O20040825000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eva A Hurst, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 | Dr Eva A Hurst, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 |
Dr. Angela Marie Sutton, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 | |
Dr. Courtney Anne Tobin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 | |
Mrs. Susan L Journagan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Court, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 |