| Merrilee R Brandt, MD | |
|
1054 Martin Luther King Dr, Suite 125, Centralia, IL 62801-3000 | |
| (618) 436-5200 | |
| (618) 436-8066 |
| Full Name | Merrilee R Brandt |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 36 Years |
| Location | 1054 Martin Luther King Dr, Centralia, 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 |
|---|---|---|---|
| 1942243811 | NPI | - | NPPES |
| 036100456 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Surgical Technology, Llc | 3274857685 | 11 |
| Entity Name | Good Samaritan Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Advanced Surgical Technology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497159024 PECOS PAC ID: 3274857685 Enrollment ID: O20150113000768 |
| Entity Name | Ambulatory Surgery Center Of Centralia |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1508574518 PECOS PAC ID: 3476915323 Enrollment ID: O20230809003851 |
| Mailing Address | Practice Location Address |
|---|---|
| Merrilee R Brandt, MD 1054 Martin Luther King Dr, Suite 125, Centralia, IL 62801-3000 Ph: (618) 436-5200 | Merrilee R Brandt, MD 1054 Martin Luther King Dr, Suite 125, Centralia, IL 62801-3000 Ph: (618) 436-5200 |
Mark Alden Murfin Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1063 Martin Luther King Dr, Centralia, IL 62801 Phone: 618-532-4004 Fax: 618-532-2856 |