| Ilya Bunimovich, PA | |
|
1201 S Grand Blvd, Saint Louis, MO 63104-1016 | |
| (314) 257-8000 | |
| Not Available |
| Full Name | Ilya Bunimovich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1201 S Grand Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730852377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2021013043 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 2021013043 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilya Bunimovich, PA West Pavilion, Room G120, 3655 Vista Avenue, St. Louis, MO 63110-2602 Ph: (314) 257-8222 | Ilya Bunimovich, PA 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8000 |
Bryon Lucas Beck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd, Building B, Suite 202, Saint Louis, MO 63131 Phone: 314-995-6893 | |
Ms. Cheryl Anne Woolsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Surg Hpb, Ste 12b, Saint Louis, MO 63110 Phone: 314-747-0410 Fax: 877-991-8954 | |
Taylor Nicole Melgar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9556 Manchester Rd, Saint Louis, MO 63119 Phone: 314-373-5740 | |
Kaitlyn Sturmer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 636-675-9109 | |
Mr. Leslie Tharon Cranick, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128 Phone: 314-843-8000 Fax: 314-843-3004 | |
Mrs. Louise M Hildebolt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423 | |
Ms. Kristy Lynne Wildt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, John Cochran Veterans Administration Medical Center, Saint Louis, MO 63106 Phone: 314-652-4100 |