Dr Thomas Mark Leibold, MD | |
300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | |
(636) 625-2662 | |
(636) 625-6623 |
Full Name | Dr Thomas Mark Leibold |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 24 Years |
Location | 300 Medical Plz Ste 310, Lake St Louis, 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 |
---|---|---|---|
1255362430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2006017165 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Mark Leibold, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Thomas Mark Leibold, MD 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 Ph: (636) 625-2662 |
Charles Robert Hartman Jr., DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 310, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. David A. Nickel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 310, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Robert Hacker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 Hrc Plaza Dr, Lake St Louis, MO 63367 Phone: 314-755-1084 | |
Dr. Andrea Behr, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 10, Lake St Louis, MO 63367 Phone: 636-625-6052 Fax: 636-625-6053 |