| Dr Michael E Mandis, MD | |
|
2236 Vadalabene Dr, Suite 2, Maryville, IL 62062-5844 | |
| (618) 288-6136 | |
| (618) 288-6143 |
| Full Name | Dr Michael E Mandis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 2236 Vadalabene Dr, 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 |
|---|---|---|---|
| 1821065764 | NPI | - | NPPES |
| I23797 | Other | MERCY | |
| 036112094 | Medicaid | IL | |
| 036112094-3 | Medicaid | IL | |
| P00265571 | Other | MEDICARE RAILROAD | |
| 036112094-5 | Medicaid | IL | |
| 1821065764 | Medicaid | MO | |
| 06032146 | Other | IL | BLUE CROSS ILLINOIS |
| 202790173 | Other | TRICARE | |
| 7496677 | Other | AETNA | |
| 241366 | Other | GHP | |
| 701184 | Other | HEALTHLINK | |
| 199147 | Other | MO | BLUE SHIELD MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036112094 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036112094 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Community Hospital Of Staunton | Staunton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Medical Group Llc | 5193792018 | 118 |
| Midwest Emergency Anderson Health Inc | 8022401256 | 24 |
| Entity Name | Anderson Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700807716 PECOS PAC ID: 5193792018 Enrollment ID: O20040910001137 |
| Entity Name | Midwest Emergency Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
| Entity Name | Midwest Inpatient Anderson Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
| Entity Name | Eldorado Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235868191 PECOS PAC ID: 3678955028 Enrollment ID: O20220801002597 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael E Mandis, MD 6810 State Route 162 Box 215, Maryville, IL 62062-8501 Ph: (618) 391-6405 | Dr Michael E Mandis, MD 2236 Vadalabene Dr, Suite 2, Maryville, IL 62062-5844 Ph: (618) 288-6136 |
Mr. Eddie Lynn Paulk, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 21, Maryville, IL 62062 Phone: 618-288-5566 Fax: 618-288-4005 | |
Dr. Christopher Farrar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-4095 Fax: 618-288-2984 | |
Syed M Arshad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2227 Vadalabene Dr, Suite 100, Maryville, IL 62062 Phone: 618-288-1140 | |
Dr. Willis Ko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 102b, Maryville, IL 62062 Phone: 618-288-4076 Fax: 618-288-4215 | |
Dr. Samir K Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162 Ste 102, Maryville, IL 62062 Phone: 618-288-4076 Fax: 618-288-4215 | |
Barbara Joy Foner, MD MPH FCCP ABSM Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Rte 162 Suite 202, Maryville, IL 62062 Phone: 618-288-6844 Fax: 618-288-6852 | |
Dr. Henry Purcell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 121, Maryville, IL 62062 Phone: 618-391-6910 |