| Marion Elsa Gabou Dessalines, PA-C | |
|
2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 | |
| (618) 800-4595 | |
| (618) 800-4501 |
| Full Name | Marion Elsa Gabou Dessalines |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2122 Troy Rd Ste 130, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548082647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 085010947 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Elsa Gabou Dessalines, PA-C Po Box 959203, Saint Louis, MO 63195-9203 Ph: (618) 800-4595 | Marion Elsa Gabou Dessalines, PA-C 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 Ph: (618) 800-4595 |
Kimberly Lynn Tiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Di'ara Woods, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3 Club Centre Ct Ste B1, Edwardsville, IL 62025 Phone: 618-699-4402 |