Mr Karl Raymond Gundersen, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Granite City, Illinois. His current practice location is
2120 Madison Ave, Ste 405, Granite City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 876-0653.
Mr Karl Raymond Gundersen is licensed to practice in Illinois (license number 036105102) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548362775.
Physician's Profile
Full Name | Mr Karl Raymond Gundersen |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2120 Madison Ave, Granite City, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Karl Raymond Gundersen attended and graduated from in
NPI Data:
- NPI Number: 1548362775
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 08/14/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Karl Raymond Gundersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548362775 | NPI | - | NPPES |
205739907 | Other | MO | MEDICAID |
036105102 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036105102 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Karl Raymond Gundersen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Karl Raymond Gundersen, MD 2120 Madison Ave, Ste 405, Granite City, IL 62040 Ph: (618) 876-0653 | Mr Karl Raymond Gundersen, MD 2120 Madison Ave, Ste 405, Granite City, IL 62040 Ph: (618) 876-0653 |
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