Ethan Emerson Reynolds, MD | |
1 Memorial Dr, Department Of Anesthesiology, Alton, IL 62002-6722 | |
(423) 620-9324 | |
Not Available |
Full Name | Ethan Emerson Reynolds |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 14 Years |
Location | 1 Memorial Dr, 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 |
---|---|---|---|
1124339734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2010020282 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alton Memorial Hospital | Alton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Providers Sc | 9830480581 | 143 |
Midwest Anesthesia Providers Sc | 9830480581 | 143 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182 |
Mailing Address | Practice Location Address |
---|---|
Ethan Emerson Reynolds, MD 2569 Trossock Ln, Saint Louis, MO 63122-5025 Ph: (423) 620-9324 | Ethan Emerson Reynolds, MD 1 Memorial Dr, Department Of Anesthesiology, Alton, IL 62002-6722 Ph: (423) 620-9324 |
Thomas B Brummett, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3 Professional Dr, Ste B, Alton, IL 62002 Phone: 618-465-7177 Fax: 618-465-7176 | |
Ali Sherif Eldin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Memorial Drive, Alton, IL 63136 Phone: 618-463-7311 | |
Mario J Marcinczyk, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Andrew Michael Hayden, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7246 | |
Dr. Samuel P Figueroa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-4523 |