Dr John F Gleeson Jr, MD | |
12255 Depaul Dr, Suite 460, Bridgeton, MO 63044 | |
(314) 770-2300 | |
(314) 770-1843 |
Full Name | Dr John F Gleeson Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 12255 Depaul Dr, Bridgeton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437356771 | NPI | - | NPPES |
200000486 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2010003206 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287 |
Mailing Address | Practice Location Address |
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Dr John F Gleeson Jr, MD 12255 Depaul Dr, Suite 460, Bridgeton, MO 63044 Ph: (314) 770-2300 | Dr John F Gleeson Jr, MD 12255 Depaul Dr, Suite 460, Bridgeton, MO 63044 Ph: (314) 770-2300 |
Dr. Brian James Saville, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12255 Depaul Dr, Suite 460, Bridgeton, MO 63044 Phone: 314-770-2300 Fax: 314-770-1843 | |
Joanne M Malcharek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Amanda Rohlfing, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr Ste 300, Bridgeton, MO 63044 Phone: 314-344-6021 | |
Joseph Muenster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3440 Depaul Ln, Suite 210, Bridgeton, MO 63044 Phone: 314-291-7766 | |
Mrs. Isabel Levine Rosenbloom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr, Suite 490, Bridgeton, MO 63044 Phone: 314-291-7766 Fax: 314-291-7767 | |
Harvey E Cantor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Dr. Walter F Benoist, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12277 De Paul Dr, Suite 506, Bridgeton, MO 63044 Phone: 314-770-2300 Fax: 314-770-1843 |