Mr Eddie Lynn Paulk, DO | |
6812 State Route 162 Ste 21, Maryville, IL 62062-8565 | |
(618) 288-5566 | |
(618) 288-4005 |
Full Name | Mr Eddie Lynn Paulk |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 6812 State Route 162 Ste 21, Maryville, 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 |
---|---|---|---|
1003813601 | NPI | - | NPPES |
242830743 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R9H10 (Missouri) | Primary |
208D00000X | General Practice | R9H10 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Mailing Address | Practice Location Address |
---|---|
Mr Eddie Lynn Paulk, DO 6810 State Route 162 Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405 | Mr Eddie Lynn Paulk, DO 6812 State Route 162 Ste 21, Maryville, IL 62062-8565 Ph: (618) 288-5566 |
Dr. Christopher Farrar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-4095 Fax: 618-288-2984 | |
Syed M Arshad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2227 Vadalabene Dr, Suite 100, Maryville, IL 62062 Phone: 618-288-1140 | |
Dr. Willis Ko, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6810 State Route 162 Ste 102b, Maryville, IL 62062 Phone: 618-288-4076 Fax: 618-288-4215 | |
Barbara Joy Foner, MD MPH FCCP ABSM Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Rte 162 Suite 202, Maryville, IL 62062 Phone: 618-288-6844 Fax: 618-288-6852 | |
Dr. Sajid Mehmood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Dr. Henry Purcell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 121, Maryville, IL 62062 Phone: 618-391-6910 |