Gina Brown, | |
1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | |
(618) 234-2120 | |
(618) 641-5810 |
Full Name | Gina Brown |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 12 Years |
Location | 1 Saint Elizabeth Blvd, O Fallon, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336582741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2018008655 (Missouri) | Secondary |
207L00000X | Anesthesiology | 036151088 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis University Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Slu Hospital Anesthesia Physician Billing Llc | 3274842331 | 80 |
Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407232804 PECOS PAC ID: 3274842331 Enrollment ID: O20151013000437 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Gina Brown, 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 | Gina Brown, 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 |
Ata U. Siddiqui, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-541-5810 | |
Eric M. Ruocco, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-541-5810 | |
Mrs. Kristina Naseer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 200, O Fallon, IL 62269 Phone: 618-641-5803 | |
Dr. Edward C Schuessler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5810 | |
Gregory Bray, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-541-5810 |