Dr Jason B Vangundy, MD | |
400 Medical Plz Ste 200, Lake St Louis, MO 63367-1417 | |
(636) 625-2662 | |
Not Available |
Full Name | Dr Jason B Vangundy |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 400 Medical Plz Ste 200, Lake 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 |
---|---|---|---|
1790746071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2001012077 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aw Health Care | Saint louis, MO | Home health agency |
Premiere Home Health | Saint charles, MO | Home health agency |
Elara Caring | Florissant, MO | Home health agency |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Select Rehab St Louis Llc | 2567510449 | 119 |
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
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 |
---|---|
Dr Jason B Vangundy, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Jason B Vangundy, MD 400 Medical Plz Ste 200, Lake St Louis, MO 63367-1417 Ph: (636) 625-2662 |
Mary Sawlai Hoang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Stephanie Graham, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz Ste 107, Lake St Louis, MO 63367 Phone: 636-561-3396 | |
Dr. Tara Rognan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Scott K Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr, Ste B19, Lake St Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Dr. Brian M Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Thien-an Hoang, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plz, Ste 101, Lake St Louis, MO 63367 Phone: 636-561-4100 Fax: 636-561-8445 |