| Dr Pak K Fung, MD | |
|
405 W Jackson St, Carbondale, IL 62901-1462 | |
| (618) 549-0721 | |
| Not Available |
| Full Name | Dr Pak K Fung |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 39 Years |
| Location | 405 W Jackson St, Carbondale, 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 |
|---|---|---|---|
| 1265487870 | NPI | - | NPPES |
| 036079290-3 | Medicaid | IL | |
| 036079290-6 | Medicaid | IL | |
| 7100150560 | Medicaid | KY | |
| 036079290 | Medicaid | IL | |
| 3932056 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-079290 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton Memorial Hospital | Mcleansboro, IL | Hospital |
| Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
| Massac Memorial Hospital | Metropolis, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eldorado Emergency Group Pc | 3678955028 | 11 |
| Entity Name | Hamilton Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609837665 PECOS PAC ID: 6608865985 Enrollment ID: O20040511001018 |
| Entity Name | Pinckneyville Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689646523 PECOS PAC ID: 8123921632 Enrollment ID: O20080506000051 |
| Entity Name | Midwest Emergency Good Samaritan, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | App Of Illinois Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Sanburg Emergency Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992337000 PECOS PAC ID: 4688003957 Enrollment ID: O20200408000461 |
| Entity Name | Eldorado Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235868191 PECOS PAC ID: 3678955028 Enrollment ID: O20220801002597 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pak K Fung, MD 110 Haleigh Drive, Energy, IL 62933 Ph: (618) 727-3864 | Dr Pak K Fung, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 |
Scott A. Cooper, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Memorial Hospital, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Amanda M Ryden, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Ethan Mark Huckabee, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Connor Stephenson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Dr. Osama Aaflaq, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Kevin M Martin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
James Sullivan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |