Dr George Randolphe Wettach, MD in Saint Louis, MO

Dr George Randolphe Wettach, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Saint Louis, Missouri. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Ssm Health Care Group, Ssm Health Care Group and his current practice location is 425 S Euclid Ave, Dept Pathology, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 362-5641.

Dr George Randolphe Wettach is licensed to practice in Missouri (license number 2016007356) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407077852.

Contact Information

	Dr George Randolphe Wettach, MD
	425 S Euclid Ave, Dept Pathology, Saint Louis, MO 63110-1005
	(314) 362-5641
	(314) 362-0369

Map and Direction

Physician's Profile

Full Name	Dr George Randolphe Wettach
Gender	Male
Speciality	Pathology
Experience	19 Years
Location	425 S Euclid Ave, Saint 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.

Medical Education and Training:

Dr George Randolphe Wettach graduated from medical school in 2006

NPI Data:

NPI Number: 1407077852
Provider Enumeration Date: 05/02/2007
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 5799931598
Enrollment ID: I20160412002238

Medical Identifiers

Medical identifiers for Dr George Randolphe Wettach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407077852	NPI	-	NPPES
200031776	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	2016007356 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health St Mary's Hospital - St Louis	Richmond heights, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Health Care Group	0143608372	690
Ssm Health Care Group	0143608372	690

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr George Randolphe Wettach allows following entities to bill medicare on his behalf.

Entity Name	Southeast Missouri Hospital Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316987746 PECOS PAC ID: 9830008770 Enrollment ID: O20040406001038

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr George Randolphe Wettach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr George Randolphe Wettach, MD 660 S Euclid Ave, Cb 8118, Saint Louis, MO 63110-1010 Ph: (314) 362-5641	Dr George Randolphe Wettach, MD 425 S Euclid Ave, Dept Pathology, Saint Louis, MO 63110-1005 Ph: (314) 362-5641

Reviews and Comments

Pathology Doctors in Saint Louis, MO

Dr. Erin Elizabeth Ely, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1300 Clark Ave, Saint Louis, MO 63103 Phone: 314-622-4971 Fax: 314-977-7615
Dr. Richard Justin Perrin, MD Pathology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Pa Anatomic And Molecular Path, Saint Louis, MO 63110 Phone: 314-362-5641 Fax: 314-362-0369
Dr. Shouying Du, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Rd, Saint Louis, MO 63117 Phone: 314-344-7525 Fax: 314-344-7226
Virgilio P Dumadag, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3015 N Ballas Rd, Department Of Pathology, Saint Louis, MO 63131 Phone: 314-996-4285 Fax: 314-996-5551
Alexander D Babich, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 6420 Clayton Rd, Saint Louis, MO 63117 Phone: 314-768-8202 Fax: 314-768-7145
Mary A. Rudloff, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11133 Dunn Rd, Dept. Of Pathology, Saint Louis, MO 63136 Phone: 314-653-5630 Fax: 314-653-4099
Dr. Beverly Kraemer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 Office Pkwy, Saint Louis, MO 63141 Phone: 314-991-8015 Fax: 314-991-0691

Dr George Randolphe Wettach, MD - Medicare Pathology in Saint Louis, MO