Gustavo Vonderlancken, MD is a medicare enrolled "Surgery" physician in Granite City, Illinois. He went to Kansas City College Of Medicine And Surgery and graduated in 1998 and has 26 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Ahs Il Medical Group Llc and his current practice location is
2044 Madison Ave, Suite 27, Granite City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 451-7600.
Gustavo Vonderlancken is licensed to practice in Illinois (license number 036109409) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881683282.
Physician's Profile
Full Name | Gustavo Vonderlancken |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 26 Years |
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Location | 2044 Madison Ave, Granite City, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Gustavo Vonderlancken attended and graduated from Kansas City College Of Medicine And Surgery in 1998
NPI Data:
- NPI Number: 1881683282
- Provider Enumeration Date: 10/18/2005
- Last Update Date: 12/19/2013
Medicare PECOS Information:
- PECOS PAC ID: 8123004603
- Enrollment ID: I20040625000460
Medical Identifiers
Medical identifiers for Gustavo Vonderlancken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881683282 | NPI | - | NPPES |
036109409 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036109409 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ahs Il Medical Group Llc | 5496111676 | 55 |
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 Vonderlancken allows following entities to bill medicare on his behalf.
Entity Name | Ahs Il Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
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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 Vonderlancken 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 Vonderlancken, MD 2044 Madison Ave, Suite 27, Granite City, IL 62040-4641 Ph: (618) 451-7600 | Gustavo Vonderlancken, MD 2044 Madison Ave, Suite 27, Granite City, IL 62040-4641 Ph: (618) 451-7600 |
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