Dr Brenton Pennicooke, MD | |
10 Hospital Dr, Dept Neurological Surgery, Saint Peters, MO 63376-1659 | |
(314) 362-3577 | |
(314) 362-2107 |
Full Name | Dr Brenton Pennicooke |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 12 Years |
Location | 10 Hospital Dr, Saint Peters, 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 |
---|---|---|---|
1093093064 | NPI | - | NPPES |
200085861 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 2020021408 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Progress West Hospital | O fallon, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington University | 9830008770 | 2516 |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538100565 PECOS PAC ID: 9830008770 Enrollment ID: O20040301000143 |
Mailing Address | Practice Location Address |
---|---|
Dr Brenton Pennicooke, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-3577 | Dr Brenton Pennicooke, MD 10 Hospital Dr, Dept Neurological Surgery, Saint Peters, MO 63376-1659 Ph: (314) 362-3577 |
Michael N Polinsky, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5301 Veterans Memorial Pkwy Ste 105, Saint Peters, MO 63376 Phone: 888-828-8608 Fax: 314-558-9017 | |
Dr. Nicholas J Liford, DC Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3899 Mid Rivers Mall Dr, Saint Peters, MO 63376 Phone: 636-936-3613 Fax: 936-936-8069 | |
Andrew Youkilis, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5301 Veterans Memorial Pkwy Ste 105, Saint Peters, MO 63376 Phone: 888-828-8608 Fax: 145-589-0173 |