Michael Gerard Guignon Sr, MD is a
Urology physician based in Belleville, Illinois. Michael Gerard Guignon Sr is licensed to practice in Illinois (license number 036075467) and his current practice location is 4550 Memorial Dr, Ste. 280, Belleville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 277-3109.
NPI number for Michael Gerard Guignon Sr is 1700973674 and his current mailing address is 4550 Memorial Dr, Ste. 280, Belleville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700973674.
Physician's Profile
Full Name | Michael Gerard Guignon Sr |
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Gender | Male |
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Speciality | Urology |
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Location | 4550 Memorial Dr, Belleville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700973674
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Michael Gerard Guignon Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700973674 | NPI | - | NPPES |
R2D91 | Other | MO | LICENSE |
036075467 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 036075467 (Illinois) | Primary |
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. Michael Gerard Guignon Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Gerard Guignon Sr, MD 4550 Memorial Dr, Ste. 280, Belleville, IL 62226 Ph: (618) 277-3109 | Michael Gerard Guignon Sr, MD 4550 Memorial Dr, Ste. 280, Belleville, IL 62226 Ph: (618) 277-3109 |
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