| Dr Ilijas Gusmirovic, DO | |
|
6800 State Route 162, Maryville, IL 62062-8500 | |
| (314) 577-8000 | |
| Not Available |
| Full Name | Dr Ilijas Gusmirovic |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 15 Years |
| Location | 6800 State Route 162, Maryville, 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 |
|---|---|---|---|
| 1861624975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2016031224 (Missouri) | Secondary |
| 207L00000X | Anesthesiology | 036135225 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesia Providers Sc | 9830480581 | 148 |
| Missouri Baptist Medical Center | 3476461955 | 114 |
| Midwest Anesthesia Providers Sc | 9830480581 | 148 |
| Entity Name | Midwest Anesthesia Providers Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ilijas Gusmirovic, DO 6800 State Route 162, Maryville, IL 62062-8500 Ph: (314) 616-5799 | Dr Ilijas Gusmirovic, DO 6800 State Route 162, Maryville, IL 62062-8500 Ph: (314) 577-8000 |
Dr. James S Powell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Dept. Of Anesthesiology, Maryville, IL 62062 Phone: 618-288-5711 | |
Gregory Collins, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 |