Dr Diliane Charles Pelikan, MD | |
1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031-8012 | |
(314) 454-2341 | |
(314) 454-4345 |
Full Name | Dr Diliane Charles Pelikan |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 1225 Graham Rd, Florissant, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508811787 | NPI | - | NPPES |
208983817 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 117876 (Missouri) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 117876 (Missouri) | Primary |
Entity Name | Mercy Hospitals East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Mailing Address | Practice Location Address |
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Dr Diliane Charles Pelikan, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 454-2341 | Dr Diliane Charles Pelikan, MD 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031-8012 Ph: (314) 454-2341 |
Miss Michele L Niemczyk, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 W Florissant Ave, Florissant, MO 63033 Phone: 314-838-8220 Fax: 314-830-1873 | |
Laura Elizabeth Holt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 W Florissant Ave, Florissant, MO 63033 Phone: 314-838-8220 Fax: 314-838-4007 | |
Dr. Elinor Hancock, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4129 N Us Highway 67, Florissant, MO 63034 Phone: 314-355-6390 | |
Dr. Ritu L Zei, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345 | |
Dr. Kevin J Murphy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Ste 1103, Florissant, MO 63031 Phone: 314-837-0405 Fax: 314-395-7289 | |
Dr. Katherine L Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345 | |
Dr. Justin O Ogbevoen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Div Ped Emergency Med, Florissant, MO 63031 Phone: 314-454-2341 Fax: 314-454-4345 |