Mr Karl Raymond Gundersen, MD in Granite City, IL

Mr Karl Raymond Gundersen, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Granite City, Illinois. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1996 and has 28 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Mellow Medical Inc A Professional Corporation and 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.

Contact Information

	Mr Karl Raymond Gundersen, MD
	2120 Madison Ave, Ste 405, Granite City, IL 62040
	(618) 876-0653
	(618) 876-0654

Map and Direction

Physician's Profile

Full Name	Mr Karl Raymond Gundersen
Gender	Male
Speciality	Psychiatry
Experience	28 Years
Location	2120 Madison Ave, Granite City, 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.

Medical Education and Training:

Mr Karl Raymond Gundersen attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1996

NPI Data:

NPI Number: 1548362775
Provider Enumeration Date: 09/01/2006
Last Update Date: 08/14/2012

Medicare PECOS Information:

PECOS PAC ID: 8729237656
Enrollment ID: I20160322002267

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mellow Medical Inc A Professional Corporation	3375767403	35

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Karl Raymond Gundersen allows following entities to bill medicare on his behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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

Reviews and Comments

Psychiatry & Neurology Doctors in Granite City, IL

Dr. Sarita Sharma, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301
Dr. Arif Habib, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2120 Madison Ave, Ste 404, Granite City, IL 62040 Phone: 618-876-7515 Fax: 618-876-7596
Seth Tilzer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave., Gateway Regional Medical Center, Granite City, IL 62040 Phone: 618-798-3012

Mr Karl Raymond Gundersen, MD - Medicare Psychiatry in Granite City, IL