David S Lickerman, MD | |
232 S Woods Mill Road, Chesterfield, MO 63017-3417 | |
(314) 205-6990 | |
Not Available |
Full Name | David S Lickerman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 47 Years |
Location | 232 S Woods Mill Road, Chesterfield, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205869732 | NPI | - | NPPES |
1205869732 | Medicaid | MO | |
201165511 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R9812 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America Llc | 6608056171 | 569 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Entity Name | Lake Forest Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023261716 PECOS PAC ID: 1759441884 Enrollment ID: O20081119000794 |
Entity Name | Fenton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770832792 PECOS PAC ID: 4789837923 Enrollment ID: O20130121000081 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
Mailing Address | Practice Location Address |
---|---|
David S Lickerman, MD 232 S Woods Mill Road, Chesterfield, MO 63017-3417 Ph: (314) 205-6990 | David S Lickerman, MD 232 S Woods Mill Road, Chesterfield, MO 63017-3417 Ph: (314) 205-6990 |
Dr. Michael J Meinzen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6990 Fax: 314-205-6073 | |
Dr. Michael J Klevens, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6990 Fax: 314-205-6073 | |
Dr. Gary P Lessmann, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 W Manor Dr, Chesterfield, MO 63017 Phone: 314-576-7357 | |
Dr. Abdul Moheet, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6990 Fax: 314-205-6073 | |
Milton Sallis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 378 Dinsmoor Dr, Chesterfield, Chesterfield, MO 63017 Phone: 314-583-9142 | |
Dr. David M Crane, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17300 N Outer 40 Rd Ste 201, Chesterfield, MO 63005 Phone: 636-778-2900 Fax: 636-778-2828 |