| Kevin Andre Funk, MD | |
|
6100 Saint Johns Ave Ste 5, Palatka, FL 32177-6859 | |
| (386) 530-5640 | |
| Not Available |
| Full Name | Kevin Andre Funk |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6100 Saint Johns Ave Ste 5, Palatka, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619938644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J3473 (Texas) | Secondary |
| 207Q00000X | Family Medicine | J3473 (Texas) | Secondary |
| 207Q00000X | Family Medicine | ME144992 (Florida) | Primary |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Texienne Oncology Centers, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700017449 PECOS PAC ID: 7012054281 Enrollment ID: O20091020000492 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Andre Funk, MD 6100 Saint Johns Ave Ste 5, Palatka, FL 32177-6859 Ph: (386) 530-5640 | Kevin Andre Funk, MD 6100 Saint Johns Ave Ste 5, Palatka, FL 32177-6859 Ph: (386) 530-5640 |
Michael Arthur Borelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2801 Kennedy St, Putnam County Health Department, Palatka, FL 32177 Phone: 386-326-3200 Fax: 386-326-3350 | |
Moses Muzquiz Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Bobby R Lafferty, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-312-0775 | |
Dr. James T. Drew, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Mary Jane Garris, APRN, FNP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 340 E Peniel Rd, Palatka, FL 32177 Phone: 386-937-9611 Fax: 386-385-3915 | |
Dave Anthony Williams, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Jose N Dizon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-328-1519 |