Dr Mary Martin Henry, MD | |
6800 State Route 162, Maryville, IL 62062-8521 | |
(618) 288-5711 | |
(314) 977-7615 |
Full Name | Dr Mary Martin Henry |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 44 Years |
Location | 6800 State Route 162, Maryville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144283136 | NPI | - | NPPES |
705958 | Other | KS | KS BCBS |
100257620A | Medicaid | KS | |
208616508 | Medicaid | MO | |
14731031 | Other | KS CITY BCBS |
Facility Name | Location | Facility Type |
---|---|---|
St Louis University Hospital | Saint louis, MO | Hospital |
Menorah Medical Center | Overland park, KS | Hospital |
Centerpoint Medical Center | Independence, MO | Hospital |
Lee's Summit Medical Center | Lees summit, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Irl Pathology Services Midamerica Llc | 0840558664 | 16 |
Irl Pathology Services Midamerica Llc | 0840558664 | 16 |
Entity Name | University Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669456257 PECOS PAC ID: 1153235825 Enrollment ID: O20031117000701 |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Entity Name | Irl Pathology Services Midamerica Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497271480 PECOS PAC ID: 0840558664 Enrollment ID: O20180129000230 |
Entity Name | Ssm Health Care Group |
---|---|
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 Mary Martin Henry, MD 6800 State Route 162, Maryville, IL 62062-8521 Ph: (618) 288-5711 | Dr Mary Martin Henry, MD 6800 State Route 162, Maryville, IL 62062-8521 Ph: (618) 288-5711 |
Steven Paul Nuernberger, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Anderson Hospital Laboratory, Rt 162, Maryville, IL 62062 Phone: 618-288-6298 Fax: 618-288-3346 | |
Thomas Fay, Pathology Medicare: Medicare Enrolled Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-6140 Fax: 618-288-2164 |