Gerardo Gutierrez, MD | |
7245 Raider Rd, Bonne Terre, MO 63628-3767 | |
(573) 468-4186 | |
Not Available |
Full Name | Gerardo Gutierrez |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 32 Years |
Location | 7245 Raider Rd, Bonne Terre, 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 |
---|---|---|---|
1679599518 | NPI | - | NPPES |
205762123 | Medicaid | MO | |
205762107 | Medicaid | MO | |
1679599518 | Medicaid | MO | |
205762149 | Medicaid | MO | |
106267A005 | Other | MO | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01046504A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 2001022240 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christian Hospital Northeast | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 82 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Mailing Address | Practice Location Address |
---|---|
Gerardo Gutierrez, MD 75 Remitt Drive, Lockbox 1900, Chicago, IL 60675-1900 Ph: (866) 916-5259 | Gerardo Gutierrez, MD 7245 Raider Rd, Bonne Terre, MO 63628-3767 Ph: (573) 468-4186 |
Ralph Leigh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 573-358-1400 | |
Dr. Phillip A. Brewer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 203-376-4684 | |
Peter Gardiner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 636-916-9000 | |
Michael Clippard, M.D., FAAP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 573-358-1400 | |
Robert Cralle, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7245 Raider Rd, Bonne Terre, MO 63628 Phone: 573-358-1400 |