| Dr Brian A Mailey, MD | |
|
747 N Rutledge St, 3rd Floor, Springfield, IL 62702 | |
| (217) 545-8000 | |
| (217) 545-2588 |
| Full Name | Dr Brian A Mailey |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 21 Years |
| Location | 747 N Rutledge St, Springfield, 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 |
|---|---|---|---|
| 1376717603 | NPI | - | NPPES |
| 036138547 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036-138547 (Illinois) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036-138547 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 802 |
| Plastic Surgery Consultants, Ltd. | 6901858968 | 4 |
| Entity Name | Plastic Surgery Consultants, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871560227 PECOS PAC ID: 6901858968 Enrollment ID: O20050217000655 |
| 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 Brian A Mailey, MD Po Box 19653, Springfield, IL 62794-9653 Ph: (217) 545-8000 | Dr Brian A Mailey, MD 747 N Rutledge St, 3rd Floor, Springfield, IL 62702 Ph: (217) 545-8000 |
Dr. Emily Catherine Sturm, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 W Carpenter St Fl 2, Springfield, IL 62702 Phone: 217-545-8000 | |
Mark Kuhnke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st Street, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7543 | |
Teah Qvavadze, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1622 | |
Dr. Krista Michelle Bonney, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Dr. Melanie Lynne Barnard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-2586 | |
Dr. Fillip Komornik, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St # D346, Springfield, IL 62702 Phone: 217-545-8444 | |
Wendy Lim, Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-1793 |