Dr Grant Nicholas Bleeker, MD | |
3015 N Ballas Rd, St Louis, MO 63131 | |
(314) 996-5000 | |
Not Available |
Full Name | Dr Grant Nicholas Bleeker |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 14 Years |
Location | 3015 N Ballas Rd, St 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 |
---|---|---|---|
1063739894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | APPLICATION ACTIVE (Iowa) | Secondary |
207L00000X | Anesthesiology | 2014005675 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Missouri Baptist Medical Center | 3476461955 | 60 |
Entity Name | Ballas Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306894241 PECOS PAC ID: 5092615310 Enrollment ID: O20040415001276 |
Entity Name | Missouri Baptist Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609658905 PECOS PAC ID: 3476461955 Enrollment ID: O20240111001744 |
Mailing Address | Practice Location Address |
---|---|
Dr Grant Nicholas Bleeker, MD 3015 N Ballas Rd, St Louis, MO 63131 Ph: (314) 996-5000 | Dr Grant Nicholas Bleeker, MD 3015 N Ballas Rd, St Louis, MO 63131 Ph: (314) 996-5000 |
Mary Hanna, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 660 South Euclid Avenue, St Louis, MO 63110 Phone: 613-795-4184 | |
Hui Yuan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Jeffrey Owen Bray, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 | |
John D Srinivasan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Lucia Z Liu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Kumiko Shimoda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 |