| Dr Sally B Portera Mankins, MD | |
|
211 S 3rd St, Belleville, IL 62220-1915 | |
| (618) 234-2120 | |
| (618) 641-5410 |
| Full Name | Dr Sally B Portera Mankins |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 22 Years |
| Location | 211 S 3rd St, Belleville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134341746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 36117761 (Illinois) | Primary |
| 207L00000X | Anesthesiology | 2009023911 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
| Entity Name | St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457319154 PECOS PAC ID: 9638064892 Enrollment ID: O20040217000493 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sally B Portera Mankins, MD 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 | Dr Sally B Portera Mankins, MD 211 S 3rd St, Belleville, IL 62220-1915 Ph: (618) 234-2120 |
Dr. Paul D Sander, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Anesthesia Dept, Belleville, IL 62226 Phone: 618-257-4076 | |
Dr. Stephanie Lynn Link, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Anesthesiology, Belleville, IL 62226 Phone: 800-862-9980 Fax: 314-362-1185 | |
Robert Hellman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St, Suite 101, Belleville, IL 62220 Phone: 618-222-3200 Fax: 618-222-3203 | |
Kathleen H Slocomb, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 Memorial Drive, Belleville, IL 62223 Phone: 618-257-4076 | |
Mark C Morris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Drive, Belleville, IL 62223 Phone: 618-257-4076 | |
Waqqas H Khan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-641-5810 | |
Randolph M Freeman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 Memorial Drive, Belleville, IL 62223 Phone: 618-257-4076 |