Glen Fenton, | |
1465 S Grand Blvd, Saint Louis, MO 63104-1003 | |
(314) 577-5338 | |
(314) 268-6411 |
Full Name | Glen Fenton |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 39 Years |
Location | 1465 S Grand Blvd, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144246091 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
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 |
Mailing Address | Practice Location Address |
---|---|
Glen Fenton, 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 977-4866 | Glen Fenton, 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5338 |
Dr. Lauren Flynn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 231 W Lockwood Ave, Suite 202, Saint Louis, MO 63119 Phone: 314-737-4070 | |
Dr. Antonina S Gesmundo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-894-6636 | |
Mr. Robert Harry Brady, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1430 Olive St, Suite 500, Saint Louis, MO 63103 Phone: 314-206-3724 Fax: 314-206-3708 | |
Dr. Marcus E Raichle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 S Euclid Ave, Ground Floor, Saint Louis, MO 63110 Phone: 314-362-6907 Fax: 314-747-3258 | |
Rohit Pawar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10018 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-7275 Fax: 314-525-7260 | |
Dr. Rushaniya Albeptovna Khairova, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Kingshighway Blvd, Saint Louis, MO 63108 Phone: 314-286-1700 Fax: 314-286-1730 | |
Dr. Alyssa E Smith, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Neurology Pediatrics, Saint Louis, MO 63110 Phone: 314-362-1408 Fax: 314-454-2523 |