Dr Randy S Fatheree, DO | |
10 Hospital Dr, Saint Peters, MO 63376-1659 | |
(314) 895-3828 | |
(314) 895-3827 |
Full Name | Dr Randy S Fatheree |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 29 Years |
Location | 10 Hospital Dr, Saint Peters, 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 |
---|---|---|---|
1780671065 | NPI | - | NPPES |
244631008 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 108473 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jacksonville Crnas Inc | 2961681523 | 15 |
Entity Name | Jacksonville Crnas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821302068 PECOS PAC ID: 2961681523 Enrollment ID: O20110127001154 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy S Fatheree, DO Po Box 5, Hazelwood, MO 63042-0005 Ph: (314) 895-3828 | Dr Randy S Fatheree, DO 10 Hospital Dr, Saint Peters, MO 63376-1659 Ph: (314) 895-3828 |
Dr. Gerald R. Joyce, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-895-3828 Fax: 314-895-3827 | |
Dr. Chad Conrad Shelton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd Ste 101, Saint Peters, MO 63376 Phone: 636-442-5035 Fax: 636-442-5036 | |
Dr. John S Menius, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-284-6396 Fax: 636-922-5157 | |
Dr. Timothy J P Cooper, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-916-9094 | |
Dr. John Alan Vellinga, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376 Phone: 636-936-0400 Fax: 636-936-2252 | |
Dr. James M. Sturm, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 412 Jungermann Rd Ste 201, Saint Peters, MO 63376 Phone: 636-244-5004 Fax: 636-244-5006 |