| Gregory Bray-stanley, MD | |
|
1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | |
| (618) 234-2120 | |
| (618) 541-5810 |
| Full Name | Gregory Bray-stanley |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 1 Saint Elizabeth Blvd, O Fallon, 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 |
|---|---|---|---|
| 1902836679 | NPI | - | NPPES |
| 000000598514 | Other | IN | ANTHEM |
| 200144250 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01046469A (Indiana) | Secondary |
| 207L00000X | Anesthesiology | 036151250 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 036.151250 (Illinois) | Primary |
| 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 | 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 |
|---|---|
| Gregory Bray-stanley, MD 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 | Gregory Bray-stanley, MD 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120 |
Ata U. Siddiqui, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-541-5810 | |
Mrs. Kristina Naseer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 200, O Fallon, IL 62269 Phone: 618-641-5803 | |
Dr. Edward C Schuessler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269 Phone: 618-234-2120 Fax: 618-641-5810 |