| Dr Amanda Leigh Parsley, DO | |
|
2166 Madison Avenue, Granite City, IL 62040 | |
| (618) 219-3318 | |
| (618) 452-3329 |
| Full Name | Dr Amanda Leigh Parsley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2166 Madison Avenue, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770719171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 39020000X (Missouri) | Secondary |
| 208000000X | Pediatrics | 036131746 (Illinois) | Primary |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Ssm Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Entity Name | Affinia Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902816077 PECOS PAC ID: 1052386919 Enrollment ID: O20040902000048 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Leigh Parsley, DO 2166 Madison Avenue, Granite City, IL 62040 Ph: (618) 219-3318 | Dr Amanda Leigh Parsley, DO 2166 Madison Avenue, Granite City, IL 62040 Ph: (618) 219-3318 |
Mohammad Reza S Ashraf, Pediatrics Medicare: Medicare Enrolled Practice Location: 1420 20th St, Granite City, IL 62040 Phone: 618-877-8200 Fax: 618-877-8206 | |
Jarod Dwayne Skouby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Suite 2, Granite City, IL 62040 Phone: 618-876-7500 | |
Shahnaz Ahmad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3165 Myrtle Ave, Ste 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807 | |
Dr. Karthikeyan Vadakantharai Parameswaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329 | |
Jamil Rana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Suite 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807 | |
Misha Lee Taber Martinez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3165 Myrtle Ave Ste 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807 | |
Dr. Chavalit Rojan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329 |