| Mary E Kussman, MD | |
|
1005 Broadway St, Quincy, IL 62301-2834 | |
| (217) 223-1200 | |
| Not Available |
| Full Name | Mary E Kussman |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1005 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801844592 | NPI | - | NPPES |
| 127254 | Other | MO | BLUE SHIELD/BLUE CHOICE |
| 237454 | Other | MO | HEALTHLINK |
| 2002570 | Other | MO | UNITED HEALTHCARE |
| 206958225 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MDR9J41 (Missouri) | Secondary |
| 207L00000X | Anesthesiology | 036126025 (Illinois) | Primary |
| Entity Name | Western Anesthesiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275646754 PECOS PAC ID: 6204720667 Enrollment ID: O20040226000438 |
| Entity Name | Capital Anesthesia Solutions of Missouri LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Kussman, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-8400 | Mary E Kussman, MD 1005 Broadway St, Quincy, IL 62301-2834 Ph: (217) 223-1200 |
Joseph Valentine Meyer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 |
Linh Thuy Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 |
Margaret Isabel Thirston, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4090 |
Dr. Ryan Mack Leifheit, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 |
William Mizikar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-222-6550 |
Dr. Muhammad Sami Iqbal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4929 Oak St, Quincy, IL 62305 Phone: 217-214-9636 Fax: 217-214-9637 |
Katie Kaimeng Wang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-1200 Fax: 217-223-9552 |