Dr Shayla S Rose, MD | |
300 Medical Plz, Lake St Louis, MO 63367-1481 | |
(636) 625-2662 | |
(636) 669-2401 |
Full Name | Dr Shayla S Rose |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 300 Medical Plz, Lake St 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 |
---|---|---|---|
1174584791 | NPI | - | NPPES |
20510409 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2000152532 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Mailing Address | Practice Location Address |
---|---|
Dr Shayla S Rose, MD 1551 Wall St, Suite 310, Saint Charles, MO 63303-3539 Ph: (636) 669-2268 | Dr Shayla S Rose, MD 300 Medical Plz, Lake St Louis, MO 63367-1481 Ph: (636) 625-2662 |
Brian Allen Andrews, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz, Ste 221, Lake St Louis, MO 63367 Phone: 636-561-2229 Fax: 636-625-5288 | |
Frank Delbert Moeller, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plaza, Suite 200, Lake St Louis, MO 63367 Phone: 636-561-8088 Fax: 636-561-1405 | |
Dr. Karyn L. Fowler, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-669-2401 | |
Dr. Emily L Sammons, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 Edgewater Pointe, Suite 200, Lake St Louis, MO 63367 Phone: 636-561-8088 Fax: 636-561-1405 |