Prince B Oliver Jr, MD | |
605 N 12th St, Mount Vernon, IL 62864-2857 | |
(618) 241-1108 | |
(618) 241-3805 |
Full Name | Prince B Oliver Jr |
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Gender | Male |
Speciality | Anesthesiology |
Location | 605 N 12th St, Mount Vernon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447266507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | (Illinois) | Primary |
Entity Name | Anesthesia Associates Of Southern Illinois Surgery Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043757487 PECOS PAC ID: 0648555433 Enrollment ID: O20170317000152 |
Mailing Address | Practice Location Address |
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Prince B Oliver Jr, MD 4227 Lincolnshire Dr, Mount Vernon, IL 62864-2157 Ph: (618) 242-2317 | Prince B Oliver Jr, MD 605 N 12th St, Mount Vernon, IL 62864-2857 Ph: (618) 241-1108 |
Dr. James E. Probst Jr., D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 Fax: 855-968-6372 | |
Rajeshri Asariparampil, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558 |