| Ethan Emerson Reynolds, MD | |
|
1 Memorial Dr, Department Of Anesthesiology, Alton, IL 62002-6722 | |
| (423) 620-9324 | |
| Not Available |
| Full Name | Ethan Emerson Reynolds |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 15 Years |
| Location | 1 Memorial Dr, Alton, 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 |
|---|---|---|---|
| 1124339734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2010020282 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alton Memorial Hospital | Alton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesia Providers Sc | 9830480581 | 148 |
| 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 |
|---|---|
| Ethan Emerson Reynolds, MD 2569 Trossock Ln, Saint Louis, MO 63122-5025 Ph: (423) 620-9324 | Ethan Emerson Reynolds, MD 1 Memorial Dr, Department Of Anesthesiology, Alton, IL 62002-6722 Ph: (423) 620-9324 |
Thomas B Brummett, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3 Professional Dr, Ste B, Alton, IL 62002 Phone: 618-465-7177 Fax: 618-465-7176 | |
Ali Sherif Eldin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Memorial Drive, Alton, IL 63136 Phone: 618-463-7311 | |
Mario J Marcinczyk, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Andrew Michael Hayden, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7246 | |
Dr. Samuel P Figueroa, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-4523 |