| Peter Wong, MD | |
|
2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864-2476 | |
| (618) 899-3980 | |
| Not Available |
| Full Name | Peter Wong |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 23 Years |
| Location | 2 Good Samaritan Way Ste 235, Mount Vernon, Illinois |
| 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 |
|---|---|---|---|
| 1952344509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 4301076962 (Michigan) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 036097977 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 103 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Wong, MD Po Box 955860 Mc 845, Saint Louis, MO 63195-2560 Ph: (636) 498-5944 | Peter Wong, MD 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864-2476 Ph: (618) 899-3980 |
Naresh Kumar Ahuja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864 Phone: 618-315-6466 Fax: 618-315-6469 | |
Kevin B Claffey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Mr. Steven J Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864 Phone: 618-899-3980 Fax: 618-899-4793 | |
Andrew Robert Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Kimberly Evonne Miller-hammond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 770-617-5556 | |
William Alan Bishop, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Alan Scott Harad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 |