| Dr Stephen Keith Funkhouser, DO | |
|
1202 Medical Center Drive, Attn: Credentialing, Wilmington, NC 28401-7307 | |
| (910) 341-3300 | |
| (910) 251-2067 |
| Full Name | Dr Stephen Keith Funkhouser |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 1202 Medical Center Drive, Wilmington, North Carolina |
| 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 |
|---|---|---|---|
| 1154600633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2016-01096 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| J. Arthur Dosher Memorial Hospital | 8921910324 | 36 |
| Southeastern Intensivist Services Pc | 9335152107 | 188 |
| Entity Name | J. Arthur Dosher Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275660342 PECOS PAC ID: 8921910324 Enrollment ID: O20031104000362 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100512000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Keith Funkhouser, DO 1202 Medical Center Drive, Attn: Credentialing, Wilmington, NC 28401-7307 Ph: (910) 341-3300 | Dr Stephen Keith Funkhouser, DO 1202 Medical Center Drive, Attn: Credentialing, Wilmington, NC 28401-7307 Ph: (910) 341-3300 |
Li Nichols, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 Fax: 910-815-5698 | |
James Adgent, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 Fax: 910-815-5698 | |
Christopher Eric Moss, PA Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1814 New Hanover Medical Park Dr, Wilmington, NC 28403 Phone: 910-662-8765 | |
Benjamin Todd Freasier, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 Fax: 910-815-5698 | |
Dr. Oyakhire C Ofori, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401 Phone: 910-343-7000 Fax: 910-667-7908 | |
Charles Talton, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-815-5830 |