Dr Roger V Vardeleon, MD | |
327 Conway Lake Dr, Saint Louis, MO 63141-8114 | |
(314) 576-4042 | |
(314) 576-4042 |
Full Name | Dr Roger V Vardeleon |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 327 Conway Lake Dr, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972613826 | NPI | - | NPPES |
200138915 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R4094 (Missouri) | Primary |
Entity Name | Healogics Specialty Physicians Of Missouri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528468311 PECOS PAC ID: 2668791690 Enrollment ID: O20150424001069 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger V Vardeleon, MD 327 Conway Lake Dr, Saint Louis, MO 63141-8114 Ph: (314) 576-4042 | Dr Roger V Vardeleon, MD 327 Conway Lake Dr, Saint Louis, MO 63141-8114 Ph: (314) 576-4042 |
Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642 | |
Dr. William C Chapman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946 | |
Dr. Bradley Seth Kushner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225 | |
Leonardo J Diaz Gandica, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-286-2000 | |
Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630 | |
Dr. Lj Punch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398 | |
Dr. David Caplin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141 Phone: 314-569-0130 Fax: 314-569-3674 |