| Mark Funk, MD | |
|
149 Emerald St, Keene, NH 03431-3611 | |
| (603) 354-5454 | |
| Not Available |
| Full Name | Mark Funk |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 45 Years |
| Location | 149 Emerald St, Keene, New Hampshire |
| 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 |
|---|---|---|---|
| 1144309162 | NPI | - | NPPES |
| 30001358 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 7270 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cheshire Medical Center | Keene, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cheshire Medical Center | 1456260165 | 161 |
| Dartmouth-hitchcock Clinic | 4183537509 | 1269 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386697803 PECOS PAC ID: 4183537509 Enrollment ID: O20031111000313 |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Entity Name | Cheshire Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093803397 PECOS PAC ID: 1456260165 Enrollment ID: O20070913000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Funk, MD 149 Emerald St, Keene, NH 03431-3611 Ph: (603) 354-5454 | Mark Funk, MD 149 Emerald St, Keene, NH 03431-3611 Ph: (603) 354-5454 |
Dr. George Forrest Quimby, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 149 Emerald St, Keene, NH 03431 Phone: 603-354-5454 | |
Dr. Arnold J Willis, MD Urology Medicare: Medicare Enrolled Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-5400 | |
Dr. Arthur R Crowley, MD, MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-6534 | |
Thomas C Mcnamara, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 149 Emerald St, Keene, NH 03431 Phone: 603-354-6570 | |
Gary Toshi Murata, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 149 Emerald St, Keene, NH 03431 Phone: 603-354-5454 | |
Dr. Theodore Steve Stamatakos, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 590 Court St, Keene, NH 03431 Phone: 603-354-5400 Fax: 603-354-5400 |