Dr Mark T Klucka, DO | |
4 Memorial Dr Ste 230, Alton, IL 62002-6704 | |
(618) 463-7874 | |
Not Available |
Full Name | Dr Mark T Klucka |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 41 Years |
Location | 4 Memorial Dr Ste 230, Alton, 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 |
---|---|---|---|
1801902432 | NPI | - | NPPES |
036077227 | Medicaid | IL | |
100013015 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036.077227 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036077227 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
St Josephs Hospital | Breese, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hshs Medical Group Inc | 5092857821 | 225 |
Entity Name | Hshs Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
Entity Name | Metro East Gastroenterology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447590328 PECOS PAC ID: 8628218989 Enrollment ID: O20130709000751 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark T Klucka, DO Po Box 959203, Saint Louis, MO 63195-1281 Ph: (618) 463-7874 | Dr Mark T Klucka, DO 4 Memorial Dr Ste 230, Alton, IL 62002-6704 Ph: (618) 463-7874 |
Dr. Juletta Avagyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Bryan Everett Steele, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935 | |
Puja Gurung, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-433-6616 | |
Mr. William P Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002 Phone: 618-463-0561 Fax: 618-465-9281 | |
Dr. Anne Ugabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Dr. Danny Sarwat Shehata, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Dr. Sisay Michael Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723 |