| Emerald Skai Lassiter, PA-C | |
|
6812 State Route 162 Ste 200, Maryville, IL 62062-8562 | |
| (618) 288-0900 | |
| (314) 576-3514 |
| Full Name | Emerald Skai Lassiter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 6812 State Route 162 Ste 200, Maryville, 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 |
|---|---|---|---|
| 1942911953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085012264 (Illinois) | Primary |
| 363A00000X | Physician Assistant | 2026017186 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arizona Urology Specialists Pllc | 5092863852 | 84 |
| Entity Name | Arizona Urology Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740426485 PECOS PAC ID: 5092863852 Enrollment ID: O20090505000105 |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Entity Name | Banner - University Physician Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Skai Lassiter, PA-C Po Box 14369, Saint Louis, MO 63178-4369 Ph: (314) 567-6071 | Emerald Skai Lassiter, PA-C 6812 State Route 162 Ste 200, Maryville, IL 62062-8562 Ph: (618) 288-0900 |
Mrs. Mallory Jean Henson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 |
Maria Catalano, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 161-828-8571 |
Michael Barajas, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6812 State Route 162, Suite 120, Maryville, IL 62062 Phone: 618-288-0044 Fax: 618-288-0066 |
Mrs. Christine Werner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2704 N Center St, Maryville, IL 62062 Phone: 618-288-0656 |
Jessica Leigh Gibson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2704 N Center St, Maryville, IL 62062 Phone: 270-556-8641 |
Jessica Nussbaum, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 120, Maryville, IL 62062 Phone: 618-288-0044 |
Sarah E Wiegman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 |