| Mary Stuart, | |
|
4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | |
| (618) 463-7600 | |
| (618) 463-7601 |
| Full Name | Mary Stuart |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 4 Memorial Dr, Alton, 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 |
|---|---|---|---|
| 1417372772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.004857 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alton Memorial Hospital | Alton, IL | Hospital |
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 448 |
| Entity Name | Fairview Heights Medical Group SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Stuart, 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (618) 463-7600 | Mary Stuart, 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 Ph: (618) 463-7600 |
Mckenzie R Youngblood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 130, Alton, IL 62002 Phone: 618-463-7600 |
Michele D Brannan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723 |
Alexandria Ruzicka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4411 Alby Street, Alton, IL 62002 Phone: 618-474-8052 |
Casey A Newgent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 130b, Alton, IL 62002 Phone: 618-463-7600 Fax: 618-463-7601 |
Kate A Smith, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Saint Anthonys Way, Suite 305, Alton, IL 62002 Phone: 618-465-9024 Fax: 618-462-6828 |
Donald W Lemoine Ii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Drive, Ste 130b, Alton, IL 62002 Phone: 618-463-7600 Fax: 618-463-7601 |
Allison Chancellor, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3 Professional Dr, Suite B, Alton, IL 62002 Phone: 618-465-7177 Fax: 618-465-7176 |