Peter Wong, MD | |
2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864-2476 | |
(618) 899-3980 | |
Not Available |
Full Name | Peter Wong |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 22 Years |
Location | 2 Good Samaritan Way Ste 235, Mount Vernon, 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 |
---|---|---|---|
1952344509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 4301076962 (Michigan) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 036097977 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
Mailing Address | Practice Location Address |
---|---|
Peter Wong, MD Po Box 955860 Mc 845, Saint Louis, MO 63195-2560 Ph: (636) 498-5944 | Peter Wong, MD 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864-2476 Ph: (618) 899-3980 |
Naresh Kumar Ahuja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864 Phone: 618-315-6466 Fax: 618-315-6469 | |
Kevin B Claffey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Mr. Steven J Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864 Phone: 618-899-3980 Fax: 618-899-4793 | |
Andrew Robert Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Kimberly Evonne Miller-hammond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 770-617-5556 | |
Alan Scott Harad, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Charles W Longwell Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 |