Dr Adriana M Canas-polesel, MD | |
1203 Smizer Mill Rd Ste 106, Fenton, MO 63026-3483 | |
(636) 717-1390 | |
(636) 717-1395 |
Full Name | Dr Adriana M Canas-polesel |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1203 Smizer Mill Rd Ste 106, Fenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083684468 | NPI | - | NPPES |
208785600 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2004022976 (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 |
Mailing Address | Practice Location Address |
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Dr Adriana M Canas-polesel, MD 1203 Smizer Mill Rd Ste 106, Fenton, MO 63026-3483 Ph: (636) 717-1390 | Dr Adriana M Canas-polesel, MD 1203 Smizer Mill Rd Ste 106, Fenton, MO 63026-3483 Ph: (636) 717-1390 |
Dr. Lawrence Vincent Boveri, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63026 Phone: 636-680-1960 Fax: 636-680-1964 | |
Mr. Stephen Angelo Boveri, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63026 Phone: 636-680-1960 Fax: 636-680-1964 | |
Dr. Amy Christine Eichholz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63028 Phone: 636-680-1960 Fax: 636-680-1964 | |
Dr. Vandana Dalton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Fenton, MO 63026 Phone: 636-717-6775 Fax: 636-717-6755 | |
Lauren Marie Rackovan, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste 215, Fenton, MO 63026 Phone: 636-680-1960 | |
Jessica Miller, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste G10, Fenton, MO 63026 Phone: 314-842-7910 |