Dr Enrique Peralta, | |
11710 Old Ballas Rd, Suite 102, Saint Louis, MO 63141-7076 | |
(314) 569-2020 | |
(314) 569-1596 |
Full Name | Dr Enrique Peralta |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 38 Years |
Location | 11710 Old Ballas Rd, Saint Louis, 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 |
---|---|---|---|
1346237534 | NPI | - | NPPES |
209310200 | Medicaid | MO | |
036112111 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 2004012770 (Missouri) | Primary |
207W00000X | Ophthalmology | 036-112111 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jfj Eyecare Ltd | 8224009865 | 13 |
Jfj Eyecare Ltd | 8224009865 | 13 |
Entity Name | Retina Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861539694 PECOS PAC ID: 5890758296 Enrollment ID: O20041108000008 |
Entity Name | St. Louis Eye Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366555690 PECOS PAC ID: 2961559844 Enrollment ID: O20090410000014 |
Entity Name | Jfj Eyecare Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376586685 PECOS PAC ID: 8224009865 Enrollment ID: O20111026000149 |
Mailing Address | Practice Location Address |
---|---|
Dr Enrique Peralta, 11710 Old Ballas Rd, Suite 102, Saint Louis, MO 63141-7076 Ph: (314) 569-2020 | Dr Enrique Peralta, 11710 Old Ballas Rd, Suite 102, Saint Louis, MO 63141-7076 Ph: (314) 569-2020 |
Dr. Laila G. Gabrawy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010 | |
Dr. Jing-wei Huang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-3937 Fax: 314-362-3725 | |
Dr. Nancy Buchser, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl Ste 14f, Saint Louis, MO 63110 Phone: 314-361-5003 Fax: 314-361-2686 | |
Dr. Zachary D Seagrave, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 517 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-362-3431 Fax: 314-362-6564 | |
Dr. Siddharth Bhargava, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-3937 Fax: 314-362-3725 | |
Rajwant Mahal, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 559-978-6740 | |
Dr. Bruce Hagedorn Cohen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Ste 14f, Saint Louis, MO 63110 Phone: 314-361-5003 Fax: 314-361-2686 |