Gustavo Adolfo Villalona, MD in Saint Louis, MO

Gustavo Adolfo Villalona, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Saint Louis, Missouri. His current practice location is 1465 S Grand Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 577-5629.

Gustavo Adolfo Villalona is licensed to practice in Missouri (license number 2015015962) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740447200.

Contact Information

	Gustavo Adolfo Villalona, MD
	1465 S Grand Blvd, Saint Louis, MO 63104-1003
	(314) 577-5629
	(314) 268-6454

Map and Direction

Physician's Profile

Full Name	Gustavo Adolfo Villalona
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	1465 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740447200
Provider Enumeration Date: 05/21/2008
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3476860248
Enrollment ID: I20191224000010

Medical Identifiers

Medical identifiers for Gustavo Adolfo Villalona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740447200	NPI	-	NPPES
2015015962	Other	MO	MISSOURI LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	2015015962 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gustavo Adolfo Villalona allows following entities to bill medicare on his behalf.

Entity Name	Marshfield Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590

Entity Name	Mchs Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gustavo Adolfo Villalona is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gustavo Adolfo Villalona, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5629	Gustavo Adolfo Villalona, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5629

Reviews and Comments

Surgery Doctors in Saint Louis, MO

Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642
Dr. William C Chapman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946
Dr. Bradley Seth Kushner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225
Leonardo J Diaz Gandica, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-286-2000
Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630
Dr. Lj Punch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398
Dr. David Caplin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141 Phone: 314-569-0130 Fax: 314-569-3674

Gustavo Adolfo Villalona, MD - Medicare Surgery in Saint Louis, MO