Andrea Baxter, MD | |
12266 De Paul Dr Ste 310, Bridgeton, MO 63044-2562 | |
(314) 344-6900 | |
(314) 645-0158 |
Full Name | Andrea Baxter |
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Gender | Female |
Speciality | Family Medicine |
Location | 12266 De Paul Dr Ste 310, Bridgeton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518984053 | NPI | - | NPPES |
208832709 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2000154561 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
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Andrea Baxter, MD Po Box 955534, Saint Louis, MO 63195-1854 Ph: () - | Andrea Baxter, MD 12266 De Paul Dr Ste 310, Bridgeton, MO 63044-2562 Ph: (314) 344-6900 |
Jessica Wild, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6080 | |
Valerie O Walker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3444 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-968-0700 | |
Allison Haungs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044 Phone: 314-209-5100 | |
Dr. Kent A Campbell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 200, Bridgeton, MO 63044 Phone: 314-344-7600 Fax: 314-344-7850 | |
Dr. Nicholas A Powers, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12255 Depaul Dr., Suite 600, Bridgeton, MO 63044 Phone: 314-291-1074 | |
Dr. Katherine R Lichtenberg, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 600, Bridgeton, MO 63044 Phone: 314-291-1074 Fax: 314-291-0802 |