Fallon H Maylack, MD | |
12255 De Paul Dr, Ste 845, Bridgeton, MO 63044-2510 | |
(314) 884-6320 | |
(314) 884-6321 |
Full Name | Fallon H Maylack |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 42 Years |
Location | 12255 De Paul Dr, Bridgeton, 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 |
---|---|---|---|
1184642993 | NPI | - | NPPES |
207746702 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | R5E50 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis Home Health | Saint louis, MO | Home health agency |
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Multispecialty Group Inc | 1658365572 | 146 |
Entity Name | American Multispecialty Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412 |
Mailing Address | Practice Location Address |
---|---|
Fallon H Maylack, MD Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 884-6320 | Fallon H Maylack, MD 12255 De Paul Dr, Ste 845, Bridgeton, MO 63044-2510 Ph: (314) 884-6320 |
Crystel D Knierim, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12349 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-291-7900 | |
Terry J Weis, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12266 Depaul Dr, 110, Bridgeton, MO 63044 Phone: 314-291-7900 Fax: 314-291-7914 | |
Randall D Roush, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12266 Depaul Dr, 110, Bridgeton, MO 63044 Phone: 314-291-7900 Fax: 314-291-7914 | |
Dr. Ramin Matthew Lalezari, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Katherine A Burns, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12349 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-291-7900 | |
William C Schroer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12349 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-291-7900 |