Aurora Gonzalez, MD | |
100 Medical Plaza, Lake St Louis, MO 63367 | |
(636) 625-5303 | |
(636) 625-5403 |
Full Name | Aurora Gonzalez |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 100 Medical Plaza, Lake St Louis, Missouri |
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 |
---|---|---|---|
1376582502 | NPI | - | NPPES |
2744043 | Medicaid | OH | |
200859790A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35078738 (Ohio) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2009008660 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiologic Imaging Consultants, Llp | 4587652748 | 16 |
Entity Name | Radiologic Imaging Consultants, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871689505 PECOS PAC ID: 4587652748 Enrollment ID: O20040505000834 |
Mailing Address | Practice Location Address |
---|---|
Aurora Gonzalez, MD 220 Compass Point Dr., St Charles, MO 63301 Ph: (636) 947-4480 | Aurora Gonzalez, MD 100 Medical Plaza, Lake St Louis, MO 63367 Ph: (636) 625-5303 |
David L Pohl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 | |
Yu Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-638-8600 | |
Edward Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 | |
John Morris Bedwinek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-695-2316 Fax: 636-639-8676 |