Dr Eva A Hurst, MD | |
390 Office Court, Fairview Heights, IL 62208 | |
(618) 233-7666 | |
(618) 233-7461 |
Full Name | Dr Eva A Hurst |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 22 Years |
Location | 390 Office Court, Fairview Heights, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023220464 | NPI | - | NPPES |
ENROLLED | Medicaid | IL | |
207346008 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 2007020114 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Distinctive Dermatology Ltd | 1850365842 | 5 |
Entity Name | Distinctive Dermatology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518028398 PECOS PAC ID: 1850365842 Enrollment ID: O20040825000184 |
Mailing Address | Practice Location Address |
---|---|
Dr Eva A Hurst, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 | Dr Eva A Hurst, MD 390 Office Court, Fairview Heights, IL 62208 Ph: (618) 233-7666 |
Dr. Angela Marie Sutton, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 | |
Dr. Courtney Anne Tobin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 | |
Mrs. Susan L Journagan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 390 Office Court, Fairview Heights, IL 62208 Phone: 618-233-7666 Fax: 618-233-7461 |