Dr Eileen Anne O'halloran, MD | |
607 S New Ballas Rd Ste 2350, Saint Louis, MO 63141-0001 | |
(314) 251-1340 | |
Not Available |
Full Name | Dr Eileen Anne O'halloran |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 13 Years |
Location | 607 S New Ballas Rd Ste 2350, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447549571 | NPI | - | NPPES |
125.060396 | Other | IL | STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
036.134096 | Other | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036.134096 (Illinois) | Secondary |
208600000X | Surgery | 2024028245 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Dr Eileen Anne O'halloran, MD 607 S New Ballas Rd Ste 2350, Saint Louis, MO 63141-0001 Ph: (314) 251-1340 | Dr Eileen Anne O'halloran, MD 607 S New Ballas Rd Ste 2350, Saint Louis, MO 63141-0001 Ph: (314) 251-1340 |
Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642 | |
Dr. William C Chapman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946 | |
Dr. Bradley Seth Kushner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225 | |
Leonardo J Diaz Gandica, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-286-2000 | |
Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630 | |
Dr. Lj Punch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398 | |
Dr. David Caplin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141 Phone: 314-569-0130 Fax: 314-569-3674 |