Dr Alfredo Custodio, MD - Surgery in Saint Louis, MO

Dr Alfredo Custodio, MD is a Surgery physician based in Saint Louis, Missouri. Dr Alfredo Custodio is licensed to practice in Missouri (license number MDR7797) and his current practice location is 11133 Dunn Rd, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 653-5744.

NPI number for Dr Alfredo Custodio is 1144427469 and his current mailing address is 11133 Dunn Rd, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144427469.

Contact Information

Dr Alfredo Custodio, MD
11133 Dunn Rd,
Saint Louis, MO 63136-6119
(314) 653-5744
(314) 653-5613

Map and Direction




Physician's Profile

Full NameDr Alfredo Custodio
GenderMale
SpecialitySurgery
Location11133 Dunn Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144427469
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 10/26/2007

Medical Identifiers

Medical identifiers for Dr Alfredo Custodio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144427469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MDR7797 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alfredo Custodio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Alfredo Custodio, MD
11133 Dunn Rd,
Saint Louis, MO 63136-6119

Ph: (314) 653-5744
Dr Alfredo Custodio, MD
11133 Dunn Rd,
Saint Louis, MO 63136-6119

Ph: (314) 653-5744

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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