Gaetano Venezia, MD | |
525 Couch Ave, Kirkwood, MO 63122-5536 | |
(314) 966-1500 | |
(314) 966-1681 |
Full Name | Gaetano Venezia |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 525 Couch Ave, Kirkwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891749461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 100735 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Mailing Address | Practice Location Address |
---|---|
Gaetano Venezia, MD 1836 Lackland Hill Pkwy, Attention: Credentialing Department, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | Gaetano Venezia, MD 525 Couch Ave, Kirkwood, MO 63122-5536 Ph: (314) 966-1500 |
James H Donnell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Mark A Mason, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
John C Vandover, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Robert J Paino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
John C Strupel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 | |
Jonas V Grybinas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681 |