Dr Mark J Tullman, MD | |
3009 N Ballas Rd, Suite 207b, Saint Louis, MO 63131-2322 | |
(314) 996-7960 | |
(314) 989-0235 |
Full Name | Dr Mark J Tullman |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 27 Years |
Location | 3009 N Ballas 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 |
---|---|---|---|
1629082375 | NPI | - | NPPES |
02236895 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 215887-1 (New York) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 2011013368 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Mercy Hospital Washington | Washington, MO | Hospital |
Mercy Hospital South | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Neurology, Llc | 8729183967 | 15 |
Entity Name | Mercy Clinic Neurology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053479188 PECOS PAC ID: 8729183967 Enrollment ID: O20070418000103 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark J Tullman, MD 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 Ph: (314) 996-7960 | Dr Mark J Tullman, MD 3009 N Ballas Rd, Suite 207b, Saint Louis, MO 63131-2322 Ph: (314) 996-7960 |
Dr. Lauren Flynn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 231 W Lockwood Ave, Suite 202, Saint Louis, MO 63119 Phone: 314-737-4070 | |
Dr. Antonina S Gesmundo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-894-6636 | |
Mr. Robert Harry Brady, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1430 Olive St, Suite 500, Saint Louis, MO 63103 Phone: 314-206-3724 Fax: 314-206-3708 | |
Dr. Marcus E Raichle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 S Euclid Ave, Ground Floor, Saint Louis, MO 63110 Phone: 314-362-6907 Fax: 314-747-3258 | |
Rohit Pawar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10018 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-7275 Fax: 314-525-7260 | |
Dr. Rushaniya Albeptovna Khairova, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Kingshighway Blvd, Saint Louis, MO 63108 Phone: 314-286-1700 Fax: 314-286-1730 | |
Dr. Alyssa E Smith, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Neurology Pediatrics, Saint Louis, MO 63110 Phone: 314-362-1408 Fax: 314-454-2523 |