Dr Diane M Eschmann-morie, MD | |
714 Gravois Rd, Ste 200, Fenton, MO 63026-7766 | |
(636) 349-5437 | |
(636) 349-6663 |
Full Name | Dr Diane M Eschmann-morie |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 714 Gravois Rd, Fenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902910292 | NPI | - | NPPES |
208554311 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 110216 (Missouri) | Primary |
Entity Name | Wuca-fenton Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760953095 PECOS PAC ID: 0840530481 Enrollment ID: O20190319001480 |
Mailing Address | Practice Location Address |
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Dr Diane M Eschmann-morie, MD Po Box 505500, Saint Louis, MO 63150-5500 Ph: (636) 349-5437 | Dr Diane M Eschmann-morie, MD 714 Gravois Rd, Ste 200, Fenton, MO 63026-7766 Ph: (636) 349-5437 |
Lori Hugg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1345 Smizer Mill Rd, Fenton, MO 63026 Phone: 636-496-5021 | |
Joseph Rudolph, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 314-496-5000 Fax: 314-496-5015 | |
Dr. Lauren Elizabeth Jones, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026 Phone: 636-345-5437 Fax: 636-349-6663 | |
Dr. Sue E Jagler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026 Phone: 636-349-5437 Fax: 636-349-6663 | |
Dr. Andrew L Karanas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2502 | |
Dr. Stephen E. Thierauf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1203 Smizer Mill Rd, Ste 108, Fenton, MO 63026 Phone: 636-717-1340 Fax: 636-717-1344 | |
Dr. Isabel Fernandez-holtzman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026 Phone: 636-349-5437 Fax: 636-349-6663 |