Dr Chad Conrad Shelton, MD | |
4800 Mexico Rd Ste 101, Saint Peters, MO 63376-1666 | |
(636) 442-5035 | |
(636) 442-5036 |
Full Name | Dr Chad Conrad Shelton |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 23 Years |
Location | 4800 Mexico Rd Ste 101, 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 |
---|---|---|---|
1194758938 | NPI | - | NPPES |
205456502 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2006018031 (Missouri) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 2006018031 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Clare Health Center | Fenton, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
St Lukes Hospital | Chesterfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Pain Llc | 0941563225 | 5 |
Ssm Select Rehab St Louis Llc | 2567510449 | 119 |
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Entity Name | Pro Pain Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205339074 PECOS PAC ID: 0941563225 Enrollment ID: O20180419001389 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Conrad Shelton, MD 4800 Mexico Rd Ste 101, Saint Peters, MO 63376-1666 Ph: (636) 442-5035 | Dr Chad Conrad Shelton, MD 4800 Mexico Rd Ste 101, Saint Peters, MO 63376-1666 Ph: (636) 442-5035 |
Dr. Gerald R. Joyce, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-895-3828 Fax: 314-895-3827 | |
Dr. John S Menius, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-284-6396 Fax: 636-922-5157 | |
Dr. Timothy J P Cooper, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-916-9094 | |
Dr. John Alan Vellinga, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376 Phone: 636-936-0400 Fax: 636-936-2252 | |
Dr. James M. Sturm, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 412 Jungermann Rd Ste 201, Saint Peters, MO 63376 Phone: 636-244-5004 Fax: 636-244-5006 | |
Dr. Randy S Fatheree, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-895-3828 Fax: 314-895-3827 |