| Mr Edward Carl Anderson, PA | |
|
2166 Madison Ave, Granite City, IL 62040-4700 | |
| (618) 452-3301 | |
| (618) 452-3312 |
| Full Name | Mr Edward Carl Anderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 47 Years |
| Location | 2166 Madison Ave, Granite City, 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 |
|---|---|---|---|
| 1326104910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 109142 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 085000938 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gateway Regional Medical Center | Granite city, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahs Il Medical Group Llc | 5496111676 | 51 |
| Apg Network, Llc | 6103264510 | 16 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Carl Anderson, PA 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 452-3301 | Mr Edward Carl Anderson, PA 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 452-3301 |
Hannah Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3260 | |
Zachary Trussler, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-288-4388 | |
Robert Montgomery, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2861 Madison Ave, Granite City, IL 62040 Phone: 618-709-7723 | |
Marion Elsa Gabou, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2861 Madison Ave, Granite City, IL 62040 Phone: 618-709-7723 | |
Mitra S. Shultz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave Ste 6, Granite City, IL 62040 Phone: 618-798-3475 Fax: 618-798-3868 | |
Mr. Oscar Adrian Perez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 |