Dr Trina G Ebersole, MD | |
4921 Parkview Pl, Div Surg Plastics, Ste 6g, Saint Louis, MO 63110-1032 | |
(314) 362-7388 | |
(833) 301-0853 |
Full Name | Dr Trina G Ebersole |
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Gender | Female |
Speciality | Plastic Surgery |
Location | 4921 Parkview Pl, 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 |
---|---|---|---|
1902289762 | NPI | - | NPPES |
200061848 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 2022033462 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487694337 PECOS PAC ID: 9830008770 Enrollment ID: O20040731000035 |
Mailing Address | Practice Location Address |
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Dr Trina G Ebersole, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-7388 | Dr Trina G Ebersole, MD 4921 Parkview Pl, Div Surg Plastics, Ste 6g, Saint Louis, MO 63110-1032 Ph: (314) 362-7388 |
Dr. Benjamin Harris Timmins, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 435-764-4932 | |
Louis Seitz Brunworth, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 S New Ballas Rd Ste 310, Saint Louis, MO 63141 Phone: 314-251-8750 Fax: 314-251-8751 | |
Dr. Alexander Lin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1465 S Grand Blvd Fl 1, Saint Louis, MO 63104 Phone: 314-678-2171 | |
Miss Amanda Faith Spielman, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-362-8028 | |
Dr. Paul D Rottler, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 505 Couch Ave, Suite 120, Saint Louis, MO 63122 Phone: 314-966-8880 Fax: 314-966-5811 | |
John Tycher, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-7388 | |
Dr. Samer William Cabbabe, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10004 Kennerly Rd Ste 281b, Saint Louis, MO 63128 Phone: 314-842-5885 Fax: 314-842-7792 |