Elbert A Fasnacht Ii, MD | |
721 S Lewis Ln, Carbondale, IL 62901-3344 | |
(618) 457-4999 | |
(618) 457-5099 |
Full Name | Elbert A Fasnacht Ii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 721 S Lewis Ln, Carbondale, 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 |
---|---|---|---|
1790834828 | NPI | - | NPPES |
110019903 | Other | IL | RAILROAD MEDICARE |
036075250 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036075250 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wilcox Memorial Hospital | Lihue, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kauai Medical Clinic | 5092628479 | 125 |
Entity Name | Kauai Medical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
Mailing Address | Practice Location Address |
---|---|
Elbert A Fasnacht Ii, MD 721 S Lewis Ln, Carbondale, IL 62901-3344 Ph: (618) 457-4999 | Elbert A Fasnacht Ii, MD 721 S Lewis Ln, Carbondale, IL 62901-3344 Ph: (618) 457-4999 |
Melissa Andrea Martinez Mateo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Stuart Kent Lankford, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Ct, Carbondale, IL 62901 Phone: 618-529-2955 Fax: 618-457-7823 | |
Dr. Anil N Parikh, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449 | |
Nathaniel Clark, P.A. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Is-haq Malik, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Arslan Mirza, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 W Oak St, Carbondale, IL 62901 Phone: 618-529-4455 Fax: 618-351-1287 | |
Dr. Motaz R Wraikat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |