| Mario J Marcinczyk, MD | |
|
1 Memorial Dr, Alton, IL 62002-6722 | |
| (618) 463-7311 | |
| Not Available |
| Full Name | Mario J Marcinczyk |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 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 |
|---|---|---|---|
| 1467409599 | NPI | - | NPPES |
| 036095452 | Medicaid | IL | |
| 203133 | Other | MO | BCBS |
| 207562307 | Medicaid | MO | |
| P00316808 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2005024595 (Missouri) | Secondary |
| 207L00000X | Anesthesiology | 036.095452 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christian Hospital Northeast | Saint louis, MO | 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 | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| 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: O20160712001846 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Mario J Marcinczyk, MD Po Box 1125, Maryland Heights, MO 63043-0125 Ph: (888) 731-1036 | Mario J Marcinczyk, MD 1 Memorial Dr, Alton, IL 62002-6722 Ph: (618) 463-7311 |
Ethan Emerson Reynolds, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Department Of Anesthesiology, Alton, IL 62002 Phone: 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 | |
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 |