Evan Neville, MD | |
4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | |
(618) 222-1020 | |
Not Available |
Full Name | Evan Neville |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 8 Years |
Location | 4600 Memorial Dr Ste 120, Belleville, 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 |
---|---|---|---|
1245694538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 036154716 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Christian Hospital Northeast | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Evan Neville, MD 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 Ph: (618) 222-1020 | Evan Neville, MD 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 Ph: (618) 222-1020 |
Dr. Kosit Prieb, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St, Suite 200, Belleville, IL 62220 Phone: 618-233-2500 Fax: 618-233-2520 | |
Dr. Bernard Szopa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 W Lincoln St, Suite 500, Belleville, IL 62220 Phone: 618-277-7400 Fax: 618-277-7422 | |
Dr. Abdul W Kazi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-222-4768 | |
Dr. Hans Hassan Moosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226 Phone: 618-222-1020 Fax: 618-222-1039 | |
Dr. Gail Elizabeth Thomas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Hickory Bnd, Belleville, IL 62223 Phone: 618-604-9926 | |
Elizabeth Renaker-jansen, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 W Lincoln St, Suite 500, Belleville, IL 62220 Phone: 618-277-7400 Fax: 618-277-7422 |