Dr Dellice Martin, MD | |
300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
(636) 947-5162 | |
Not Available |
Full Name | Dr Dellice Martin |
---|---|
Gender | Female |
Speciality | Critical Care (intensivists) |
Experience | 32 Years |
Location | 300 1st Capitol Dr, Saint Charles, 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 |
---|---|---|---|
1407829203 | NPI | - | NPPES |
208951426 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 101041 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care St Louis | 7810800737 | 143 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Cogent Healthcare Of Missouri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
Mailing Address | Practice Location Address |
---|---|
Dr Dellice Martin, MD 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (636) 947-5162 | Dr Dellice Martin, MD 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (636) 947-5162 |
Lawrence Stephen Tierney, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301 Phone: 636-669-2332 | |
Syed A Khalid, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-647-5000 Fax: 636-947-5090 | |
Guangchen Zou, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1820 Zumbehl Rd Ste 120, Saint Charles, MO 63303 Phone: 314-801-5350 Fax: 314-801-5323 | |
Dr. Stephen M Comens, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2220 Fax: 636-669-2401 | |
Dr. Shephali Himanshu Wulff, D.O Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 1st Capitol Dr Ste 260, Saint Charles, MO 63301 Phone: 636-925-0900 | |
Keith Wickenhauser, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 Phone: 636-669-2350 | |
Jerome E Thurman, M.D.,F.A.C.E. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2219 Fax: 636-669-2380 |