Dr Gregorius Resuma Penilla, MD | |
1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305 | |
(636) 496-5040 | |
Not Available |
Full Name | Dr Gregorius Resuma Penilla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 44 Years |
Location | 1345 Smizer Mill Rd Ste 1100, Fenton, 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 |
---|---|---|---|
1023024973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 36678 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Missouri | Hillsboro, MO | Home health agency |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
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Dr Gregorius Resuma Penilla, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Gregorius Resuma Penilla, MD 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305 Ph: (636) 496-5040 |
Dr. Aman Kanti Patel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Stephanie Jean Becker-koepke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 | |
Dr. Jeffrey J Hallazgo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026 Phone: 636-326-6100 Fax: 636-326-6110 | |
Dr. Mansoor Ul Haq, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 | |
Dr. Abdul Rehman Rishi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022 | |
Timothy James Pratt, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1011 Bowles Avenue, Suite 121, Fenton, MO 63026 Phone: 314-766-2066 Fax: 636-326-1802 |