| Ekokobe Fonkem, DO | |
|
1017 Franklin St, Johnstown, PA 15905-4110 | |
| (814) 410-8300 | |
| Not Available |
| Full Name | Ekokobe Fonkem |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 19 Years |
| Location | 1017 Franklin St, Johnstown, Pennsylvania |
| 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 |
|---|---|---|---|
| 1538359534 | NPI | - | NPPES |
| 1538359534 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 81368 (Wisconsin) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | OS024604C (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Conemaugh Memorial Medical Center | Johnstown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dlp Conemaugh Physician Practices Llc | 7315166949 | 256 |
| Pocatello Health Services Llc | 6608927637 | 154 |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Mailing Address | Practice Location Address |
|---|---|
| Ekokobe Fonkem, DO 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-6804 | Ekokobe Fonkem, DO 1017 Franklin St, Johnstown, PA 15905-4110 Ph: (814) 410-8300 |
Burton Singerman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 320 Main St, Johnstown, PA 15901 Phone: 814-534-1095 Fax: 814-534-1698 | |
Anseruddin Mohammed, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 119 Walnut St, Walnut Plaza, Johnstown, PA 15901 Phone: 814-534-1095 Fax: 814-534-6145 | |
Anusha Edara, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1450 Scalp Ave Ste 2100, Johnstown, PA 15904 Phone: 814-269-5275 Fax: 814-269-5233 | |
Jan M Savit, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 422 Main St, Suite 202, Johnstown, PA 15901 Phone: 814-536-2526 Fax: 814-536-5437 | |
Hannah R Richards, Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1415 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-915-4539 | |
Dr. Terryl Lynn Mackey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 170 Barn Swallow Ln, Johnstown, PA 15905 Phone: 814-288-6203 |