Dr Daniel T Mattson, MD | |
12266 De Paul Dr Ste 100, Bridgeton, MO 63044-2541 | |
(314) 738-2770 | |
Not Available |
Full Name | Dr Daniel T Mattson |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 24 Years |
Location | 12266 De Paul Dr Ste 100, Bridgeton, 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 |
---|---|---|---|
1447237870 | NPI | - | NPPES |
207277104 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036111157 (Illinois) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 2004003731 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel T Mattson, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Daniel T Mattson, MD 12266 De Paul Dr Ste 100, Bridgeton, MO 63044-2541 Ph: (314) 738-2770 |
Lawrence F. Kuhn, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12277 De Paul Dr, Suite 303 South, Bridgeton, MO 63044 Phone: 314-344-7575 Fax: 314-344-7571 | |
Linda Shofner, CPNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 314-344-6840 | |
Dr. Xinrong Lu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-738-2770 | |
Dr. Ellen Lockard Edens, MD, MPE, MA Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3165 Mckelvey Rd, Suite 200, Bridgeton, MO 63044 Phone: 314-206-3900 Fax: 314-206-3992 | |
Dr. Siddharth Kaul, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-738-2770 | |
Dr. Amer Alshekhlee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-738-2770 |