| Dr Brandon Marshall Williams, DC, PA | |
|
13 Wolf Creek Dr Ste 1, Swansea, IL 62226-2367 | |
| (618) 233-4458 | |
| Not Available |
| Full Name | Dr Brandon Marshall Williams |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 13 Wolf Creek Dr Ste 1, Swansea, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134355175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (Missouri) | Primary |
| 111N00000X | Chiropractor | 2009012055 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swansea Medical Group Ltd | 4880068543 | 2 |
| Neuropathy And Pain Solutions Of South County | 7911303185 | 3 |
| Entity Name | Neuropathy and Pain Solutions of Marion Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154085710 PECOS PAC ID: 6204228802 Enrollment ID: O20220111001475 |
| Entity Name | Swansea Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205549128 PECOS PAC ID: 4880068543 Enrollment ID: O20230320001255 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Marshall Williams, DC, PA 13 Wolf Creek Dr Ste 1, Swansea, IL 62226-2367 Ph: (618) 233-4458 | Dr Brandon Marshall Williams, DC, PA 13 Wolf Creek Dr Ste 1, Swansea, IL 62226-2367 Ph: (618) 233-4458 |
Jennifer Adams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4948 Benchmark Centre Dr, Swansea, IL 62226 Phone: 618-628-2588 Fax: 618-628-1363 |
Fazillah Faiz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 N Illinois Ln, Swansea, IL 62226 Phone: 618-257-6380 |
Mrs. Lisa A. Boget, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4948 Benchmark Centre Dr, Swansea, IL 62226 Phone: 618-628-2588 Fax: 618-628-1363 |
Elizabeth C. Ridley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4948 Benchmark Centre Dr, Swansea, IL 62226 Phone: 618-628-2588 Fax: 618-628-1363 |
Molly A Braddock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4948 Benchmark Centre Dr, Swansea, IL 62226 Phone: 618-628-2588 Fax: 618-628-1363 |
Alisia M Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Park Pl, Swansea, IL 62226 Phone: 618-277-7500 Fax: 618-277-4236 |