| 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: Not Enrolled in Medicare 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |