Brent T Fonner, MD | |
Provena Mercy Medical Center / Pathology Department, 1325 North Highland Avenue, Aurora, IL 60506 | |
(630) 859-2222 | |
Not Available |
Full Name | Brent T Fonner |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 33 Years |
Location | Provena Mercy Medical Center / Pathology Department, Aurora, 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 |
---|---|---|---|
1477555308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036088383 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kishwaukee Community Hospital | Dekalb, IL | Hospital |
Presence Mercy Medical Center | Aurora, IL | Hospital |
Valley West Community Hospital | Sandwich, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Imaging Consultants Llc | 2567784408 | 169 |
Aurora Radiology Consultants Sc | 7517867997 | 19 |
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Aurora Radiology Consultants - Dekalb Llc | 8628142106 | 20 |
Entity Name | Aurora Radiology Consultants Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053310417 PECOS PAC ID: 7517867997 Enrollment ID: O20040112000146 |
Entity Name | Aurora Radiology Consultants - Dekalb Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801062831 PECOS PAC ID: 8628142106 Enrollment ID: O20080731000561 |
Entity Name | Integrated Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
Mailing Address | Practice Location Address |
---|---|
Brent T Fonner, MD 520 E 22nd St, Lombard, IL 60148-6110 Ph: (630) 874-2542 | Brent T Fonner, MD Provena Mercy Medical Center / Pathology Department, 1325 North Highland Avenue, Aurora, IL 60506 Ph: (630) 859-2222 |
Dr. Adam J Sanchez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 773-702-3550 Fax: 773-834-6237 | |
Sandy Kwak, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 Fax: 630-264-8428 | |
Julia Jung Choo, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2000 Ogden Ave, Rush Copley Medical Center, Aurora, IL 60504 Phone: 630-978-6250 | |
John M. Plotke, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1325 North Highland Avenue, Aurora, IL 60506 Phone: 630-859-2222 | |
Dr. Salitha G Reddy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Ogden Avenue, Aurora, IL 60504 Phone: 630-978-6250 Fax: 630-978-6869 | |
David L. Gibson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Provena Mercy Medical Center / Pathology Department, 1325 North Highland Avenue, Aurora, IL 60506 Phone: 630-859-2222 | |
Dr. Suveer Babu Tatineni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1325 N Highland Ave, Provena Mercy Medical Center/radiology Department, Aurora, IL 60506 Phone: 630-859-2222 |