| Fabiola Enriquez, MD | |
|
611 W Park St, Urbana, IL 61801-2529 | |
| (585) 275-2100 | |
| Not Available |
| Full Name | Fabiola Enriquez |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 611 W Park St, Urbana, 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 |
|---|---|---|---|
| 1205327806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 336134483 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Strong Memorial Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Associates - University Of Rochester | 4789596347 | 61 |
| Observation Associates Of The University Of Rochester | 7517919244 | 39 |
| Entity Name | Emergency Associates - University of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346281268 PECOS PAC ID: 4789596347 Enrollment ID: O20031103000240 |
| Entity Name | Geneva General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487797080 PECOS PAC ID: 7810809407 Enrollment ID: O20031103000307 |
| Entity Name | Observation Associates of the University of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518908433 PECOS PAC ID: 7517919244 Enrollment ID: O20050210000688 |
| Mailing Address | Practice Location Address |
|---|---|
| Fabiola Enriquez, MD 611 W Park St, Urbana, IL 61801-2529 Ph: (562) 505-5971 | Fabiola Enriquez, MD 611 W Park St, Urbana, IL 61801-2529 Ph: (585) 275-2100 |
Dr. Carlos Enrique Brown Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 |
Dr. Imran Khan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 |
Dr. Brent Olson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 |
Brendan Mcevoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3285 |
Michael F Hegarty, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-4930 Fax: 217-383-4014 |
Ryan Paul Hurth, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014 |
Lars Grant, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Emergency Department, Urbana, IL 61801 Phone: 217-337-2131 |