Patrice Staten, MD | |
6810 State Route 162 Suite 105, Maryville, IL 62062-8501 | |
(618) 288-9320 | |
(618) 288-9258 |
Full Name | Patrice Staten |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 30 Years |
Location | 6810 State Route 162 Suite 105, Maryville, 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 |
---|---|---|---|
1154481364 | NPI | - | NPPES |
036106866001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036106866 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Hospital | Maryville, IL | Hospital |
Community Hospital Of Staunton | Staunton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anderson Medical Group Llc | 5193792018 | 122 |
Entity Name | Anderson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
Mailing Address | Practice Location Address |
---|---|
Patrice Staten, MD 6810 State Route 162 Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405 | Patrice Staten, MD 6810 State Route 162 Suite 105, Maryville, IL 62062-8501 Ph: (618) 288-9320 |
Dr. Morgan Miller, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2016 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-2970 Fax: 618-288-3572 | |
Dr. James Joseph Dalla Riva, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 301, Maryville, IL 62062 Phone: 618-288-5699 Fax: 618-288-5797 | |
Ms. Kimberly Nicol Sanford, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2016 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-2970 Fax: 618-288-3572 | |
Christina L Midkiff, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418 | |
Dr. Thomas Michael Hulsen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 301, Maryville, IL 62062 Phone: 618-288-5699 | |
Dr. Rodolfo Scott Beer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2016 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-2970 |