Dr Kyle J Eash, MD PHD | |
1603 Wentzville Pkwy Ste 123, Wentzville, MO 63385-3826 | |
(636) 695-0300 | |
(636) 695-0301 |
Full Name | Dr Kyle J Eash |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 13 Years |
Location | 1603 Wentzville Pkwy Ste 123, Wentzville, 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 |
---|---|---|---|
1790072395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2015018653 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Entity Name | Ssm Health Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle J Eash, MD PHD 1008 S Spring Ave Fl 3, Saint Louis, MO 63110-2520 Ph: (314) 617-3339 | Dr Kyle J Eash, MD PHD 1603 Wentzville Pkwy Ste 123, Wentzville, MO 63385-3826 Ph: (636) 695-0300 |
Brenley Deters, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 | |
Jaeyoung Yoon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Dr. Lindsey Graviett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Dr. Omar W Jassim, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 | |
Stacy Gittel Blum, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 |