Dr Derek Sloan Larson, MD | |
456 N New Ballas Rd Ste 348, Creve Coeur, MO 63141-6846 | |
(314) 548-0265 | |
Not Available |
Full Name | Dr Derek Sloan Larson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 456 N New Ballas Rd Ste 348, Creve Coeur, 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 |
---|---|---|---|
1588820096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 036126443 (Illinois) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 2014016671 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Town And Country West Dialysis | Saint louis, MO | Dialysis facility |
Crystal City Dialysis Center | Crystal city, MO | Dialysis facility |
Crestwood Dialysis | Saint louis, MO | Dialysis facility |
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Ste Genevieve County Memorial Hospital | Sainte genevieve, MO | Hospital |
Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
Christian Hospital Northeast | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Louis Kidney Llc | 0143446617 | 8 |
St Louis Kidney Llc | 0143446617 | 8 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | St Louis Kidney Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730593757 PECOS PAC ID: 0143446617 Enrollment ID: O20140721000011 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Sloan Larson, MD Po Box 78429, Saint Louis, MO 63178-8429 Ph: (314) 548-0265 | Dr Derek Sloan Larson, MD 456 N New Ballas Rd Ste 348, Creve Coeur, MO 63141-6846 Ph: (314) 548-0265 |
Usman Javaid, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11477 Olde Cabin Rd Ste 102, Creve Coeur, MO 63141 Phone: 314-432-5144 Fax: 314-432-2400 | |
Dr. Michele T Bellamy, MD Nephrology Medicare: Medicare Enrolled Practice Location: 12680 Olive Blvd Ste 100, Creve Coeur, MO 63141 Phone: 314-251-8900 Fax: 314-251-8901 | |
Dr. Ahmad Hassan Irshad, MD Nephrology Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-251-6930 | |
Mikael Garri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd, Suite 3016b, Creve Coeur, MO 63141 Phone: 314-251-6339 Fax: 314-251-4564 | |
Bruce Jeffrey Lippmann, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1009 Executive Parkway Dr, Creve Coeur, MO 63141 Phone: 573-267-2318 Fax: 314-293-6811 | |
Dr. Rohan Devanpalli-ramaya, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 456 N New Ballas Rd Ste 348, Creve Coeur, MO 63141 Phone: 314-548-0265 Fax: 314-548-6555 | |
Janet Todorczuk, MD Nephrology Medicare: Medicare Enrolled Practice Location: 11525 Olde Cabin Rd, Creve Coeur, MO 63141 Phone: 314-997-0554 Fax: 314-997-5086 |