Dr Kenneth L Gerdes, MD | |
11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6150 | |
(314) 432-2580 | |
(314) 991-8960 |
Full Name | Dr Kenneth L Gerdes |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 11155 Dunn Rd, Saint 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 |
---|---|---|---|
1720020100 | NPI | - | NPPES |
23548 | Other | MO | BCBS PROV# |
202382115 | Medicaid | MO | |
P00278412 | Other | MO | RR MCR PROV# |
733423 | Other | MO | HEALTHLINK PROV# |
202034729 | Other | MO | TRICARE WEST PROV# |
237776 | Other | MO | GHP/CMR PROV# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | R6G82 (Missouri) | Primary |
207RN0300X | Internal Medicine - Nephrology | 036-082405 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Granite City Dialysis Center | Granite city, IL | Dialysis facility |
Mercy Hospital Jefferson | Festus, MO | Hospital |
Gateway Regional Medical Center | Granite city, IL | Hospital |
Entity Name | Kenneth Gerdes , Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679514095 PECOS PAC ID: 6709828304 Enrollment ID: O20050524000909 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth L Gerdes, MD Po Box 1209, Maryland Heights, MO 63043-0209 Ph: (314) 432-2580 | Dr Kenneth L Gerdes, MD 11155 Dunn Rd, Suite 211n, Saint Louis, MO 63136-6150 Ph: (314) 432-2580 |
Dr. Isik Turker, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278 | |
Conor Mccartney, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 |