Dr Clark R Mckenzie, MD | |
450 N New Ballas Rd, Ste 270 W, Saint Louis, MO 63195-2632 | |
(314) 991-6969 | |
(314) 997-6969 |
Full Name | Dr Clark R Mckenzie |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 35 Years |
Location | 450 N New Ballas Rd, Saint Louis, 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 |
---|---|---|---|
1073506051 | NPI | - | NPPES |
004013185 | Other | MO | MEDICARE PROV ID AREA 99 |
1124011010 | Other | MO | HHC CATH GROUP NPI |
1881863009 | Other | MO | FARM GROUP NPI |
P00275849 | Other | MO | RR CCL GROUP |
006012762 | Other | MEDICARE PROVIDER ID | |
110171721 | Other | MO | RR MEDICARE NUMBER |
000047049 | Other | MO | MCARE CCL GROUP NUMBER |
CI7050 | Other | MO | RR GROUP 99 |
MA1080 | Other | MO | CCL GROUP NUMBER |
1801889795 | Other | MO | STL GROUP NPI |
MA1080001 | Other | MO | CCL INDIVDUAL PROV NUMBER |
CD6536 | Other | MO | RR GROUP 01 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | R4P62 (Missouri) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | R4P62 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital | Chesterfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heart Care Specialists Llc | 2062774755 | 17 |
Entity Name | Heart Care Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275031866 PECOS PAC ID: 2062774755 Enrollment ID: O20180316000334 |
Mailing Address | Practice Location Address |
---|---|
Dr Clark R Mckenzie, MD 450 N New Ballas Rd, Ste 270 W, Saint Louis, MO 63195-2632 Ph: (314) 991-6969 | Dr Clark R Mckenzie, MD 450 N New Ballas Rd, Ste 270 W, Saint Louis, MO 63195-2632 Ph: (314) 991-6969 |
Dr. Isik Turker, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278 | |
Conor Mccartney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 |