Dr Tanya Marya Wildes, MD | |
150 Entrance Way, Saint Peters, MO 63376-1645 | |
(636) 996-3360 | |
(636) 916-9176 |
Full Name | Dr Tanya Marya Wildes |
---|---|
Gender | Female |
Speciality | Hematology |
Experience | 22 Years |
Location | 150 Entrance Way, Saint Peters, Missouri |
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 |
---|---|---|---|
1659592152 | NPI | - | NPPES |
ENROLLED | Medicaid | IL | |
1659592152 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | 2009005695 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Nebraska Medical Center | Omaha, NE | Hospital |
Bellevue Medical Center | Bellevue, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Unmc Physicians | 6002728391 | 1312 |
Entity Name | Unmc Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
Mailing Address | Practice Location Address |
---|---|
Dr Tanya Marya Wildes, MD 660 S Euclid Ave, C B 8056, Saint Louis, MO 63110-1010 Ph: (314) 747-1171 | Dr Tanya Marya Wildes, MD 150 Entrance Way, Saint Peters, MO 63376-1645 Ph: (636) 996-3360 |
Furqan F Raja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Circle, Suite 405, Saint Peters, MO 63376 Phone: 636-720-0310 Fax: 636-720-0311 | |
Dr. Pierre Moeser, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir, Ste 300, Saint Peters, MO 63376 Phone: 636-916-9020 Fax: 636-916-9021 | |
Dr. Ron Javdan, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376 Phone: 636-928-1822 Fax: 636-441-7033 | |
Dr. Lawrence Osei, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Dept Anesthesiology, Saint Peters, MO 63376 Phone: 800-862-9980 Fax: 314-362-1185 | |
Dr. Anna Roshal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Entrance Way, Saint Peters, MO 63376 Phone: 636-916-9920 Fax: 636-916-9176 | |
Dr. Sandeep Hindupur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr Ste 100, Saint Peters, MO 63376 Phone: 636-916-7272 | |
April Thebeau, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-317-0600 Fax: 314-317-0606 |