Mr Edward Carl Anderson, PA | |
2166 Madison Ave, Granite City, IL 62040-4700 | |
(618) 452-3301 | |
(618) 452-3312 |
Full Name | Mr Edward Carl Anderson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 46 Years |
Location | 2166 Madison Ave, Granite City, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326104910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 109142 (Missouri) | Secondary |
363A00000X | Physician Assistant | 085000938 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gateway Regional Medical Center | Granite city, IL | Hospital |
Anderson Hospital | Maryville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ahs Il Medical Group Llc | 5496111676 | 55 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward Carl Anderson, PA 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 452-3301 | Mr Edward Carl Anderson, PA 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 452-3301 |
Taylor Marie Bogue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 | |
Hannah Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3260 | |
Zachary Trussler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-288-4388 | |
Robert Montgomery, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2861 Madison Ave, Granite City, IL 62040 Phone: 618-709-7723 | |
Marion Elsa Gabou, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2861 Madison Ave, Granite City, IL 62040 Phone: 618-709-7723 | |
Mitra S. Shultz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave Ste 6, Granite City, IL 62040 Phone: 618-798-3475 Fax: 618-798-3868 |