| Stephanie K Hawley, MD | |
| 405 W Jackson St, Carbondale, IL 62901-1462 | |
| (618) 549-0721 | |
| (618) 457-0469 | 
| Full Name | Stephanie K Hawley | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 405 W Jackson St, Carbondale, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245523091 | NPI | - | NPPES | 
| Entity Name | Vidant Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 | 
| Entity Name | Emergency Coverage Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 | 
| Entity Name | Vidant Medical Group Affiliates Llc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437549896 PECOS PAC ID: 5395066138 Enrollment ID: O20150605000882 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stephanie K Hawley, MD 105 Longleaf Ln, New Bern, NC 28562-3675 Ph: (618) 549-0721 | Stephanie K Hawley, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721 | 
| Scott A. Cooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Memorial Hospital, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
| Amanda M Ryden, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
| Ethan Mark Huckabee, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
| Connor Stephenson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
| Dr. Osama Aaflaq, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
| Kevin M Martin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
| James Sullivan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |