Gregory Warren Mattingly, MD | |
330 1st Capitol Dr, Ste 390, Saint Charles, MO 63301-2852 | |
(636) 949-5760 | |
(636) 949-0729 |
Full Name | Gregory Warren Mattingly |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 35 Years |
Location | 330 1st Capitol Dr, Saint Charles, 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 |
---|---|---|---|
1215933379 | NPI | - | NPPES |
17646 | Other | BLUE CROSS BLUE SHIELD | |
212683 | Other | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 102964 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Charles Psychiatric Associates, Inc. | 0648431312 | 4 |
Entity Name | St. Charles Psychiatric Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164631495 PECOS PAC ID: 0648431312 Enrollment ID: O20120406000043 |
Mailing Address | Practice Location Address |
---|---|
Gregory Warren Mattingly, MD 4801 Weldon Spring Pkwy, Ste 300, Weldon Spring, MO 63304-9101 Ph: (636) 949-5760 | Gregory Warren Mattingly, MD 330 1st Capitol Dr, Ste 390, Saint Charles, MO 63301-2852 Ph: (636) 949-5760 |
Dr. Michele A Wood, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-946-1152 Fax: 636-946-8126 | |
Howard Jay Ilivicky, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 330 1st Capitol Dr, Ste 390, Saint Charles, MO 63301 Phone: 636-949-5760 Fax: 636-949-0729 | |
Dr. Min Pan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr, Suite 407, Saint Charles, MO 63301 Phone: 636-946-1152 Fax: 636-946-8126 | |
Dr. Kanika Ravi Ramchandani, MBBS, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 102 Compass Point Dr, Saint Charles, MO 63301 Phone: 844-853-8937 | |
Richard Howard Anderson, M.D., PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 330 1st Capitol Dr, Ste 390, Saint Charles, MO 63301 Phone: 636-949-5760 Fax: 636-949-0729 |