Dr Jesse Groh, MD | |
2740 S Saint Peters Pkwy, Suite A, Saint Peters, MO 63303-6355 | |
(636) 441-5437 | |
Not Available |
Full Name | Dr Jesse Groh |
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Gender | Male |
Speciality | Pediatrics |
Location | 2740 S Saint Peters Pkwy, Saint Peters, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457593865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N1659 (Texas) | Secondary |
208000000X | Pediatrics | 2010007576 (Missouri) | Primary |
Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Mailing Address | Practice Location Address |
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Dr Jesse Groh, MD 515 N Virginia Ave, Eureka, MO 63025-1115 Ph: (636) 587-3000 | Dr Jesse Groh, MD 2740 S Saint Peters Pkwy, Suite A, Saint Peters, MO 63303-6355 Ph: (636) 441-5437 |
Dr. Brian Joseph Glen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Veterans Memorial Pkwy, Ste 104, Saint Peters, MO 63376 Phone: 636-939-3362 Fax: 636-939-3687 | |
Dr. Lorena Buffa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5301 Veterans Memorial Pkwy, Ste 104, Saint Peters, MO 63376 Phone: 636-939-3362 Fax: 636-939-3687 | |
Larry A Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2730 S Highway 94, Suite 202, Saint Peters, MO 63303 Phone: 636-939-4200 Fax: 636-939-4204 | |
Dr. Joseph A Kahn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2740 S Highway 94, Suite A, Saint Peters, MO 63303 Phone: 636-441-5437 | |
Dr. Brandon D. Larkin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 112 Piper Hill Drive, Suite 9, Saint Peters, MO 63376 Phone: 636-441-3444 Fax: 636-441-9832 | |
Dr. Robert J Lobonc, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4704 Mexico Rd, Saint Peters, MO 63376 Phone: 636-441-4144 Fax: 636-441-4112 |