Dr David Glick, MD | |
175 N Oaks Plz, Saint Louis, MO 63121-2925 | |
(314) 391-9777 | |
(314) 390-5404 |
Full Name | Dr David Glick |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 175 N Oaks Plz, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679557177 | NPI | - | NPPES |
20497110 | Medicaid | MO | |
204977102 | Medicaid | MO | |
047010581 | Other | MO | CPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 112861 (Missouri) | Primary |
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Entity Name | Dedicated Missouri Holding, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053958082 PECOS PAC ID: 5395176820 Enrollment ID: O20200515001886 |
Mailing Address | Practice Location Address |
---|---|
Dr David Glick, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (314) 391-9777 | Dr David Glick, MD 175 N Oaks Plz, Saint Louis, MO 63121-2925 Ph: (314) 391-9777 |
Alexander Keenan Holbrook, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100 | |
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010 | |
Amy Elizabeth Roberts, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8888 Ladue Rd Ste 210, Saint Louis, MO 63124 Phone: 314-996-5900 Fax: 314-995-5910 | |
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946 | |
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326 | |
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940 | |
Dr. Alan Valente A Padua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13303 Tesson Ferry Rd Ste 100, Saint Louis, MO 63128 Phone: 314-722-4741 Fax: 314-722-4731 |