Edward Stephen Bolesta, MD | |
1402 S Grand, St Louis, MO 63104 | |
(314) 577-8000 | |
Not Available |
Full Name | Edward Stephen Bolesta |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 41 Years |
Location | 1402 S Grand, 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 |
---|---|---|---|
1366456840 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Progress West Hospital | O fallon, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkway Pathology Group Inc | 5496728818 | 7 |
Entity Name | Parkway Pathology Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245206960 PECOS PAC ID: 5496728818 Enrollment ID: O20040814000088 |
Mailing Address | Practice Location Address |
---|---|
Edward Stephen Bolesta, MD 3691 Rutger St, Saint Louis, MO 63110-2515 Ph: (314) 977-6828 | Edward Stephen Bolesta, MD 1402 S Grand, St Louis, MO 63104 Ph: (314) 577-8000 |
Nancy J Phillips, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 | |
William Henry Boyce, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, St Louis, MO 63122 Phone: 314-721-1531 Fax: 314-822-6316 | |
Stephen E Godfrey, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10010 Kennerly Road, St Louis, MO 63128 Phone: 314-525-4345 Fax: 314-525-4354 | |
Richard G Hoover, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 | |
Leonard E Grosso, MD PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 | |
Michael A Graham, Pathology Medicare: Medicare Enrolled Practice Location: 1402 S Grand, St Louis, MO 63110 Phone: 314-577-8693 Fax: 314-268-5478 |