Jared Koen, MD | |
3655 Vista Ave, Suite 116, Saint Louis, MO 63110-2539 | |
(314) 268-5499 | |
Not Available |
Full Name | Jared Koen |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 8 Years |
Location | 3655 Vista 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841641164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2016017305 (Missouri) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2021014025 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis University Hospital | Saint louis, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Anderson Hospital | Maryville, IL | Hospital |
Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
Entity Name | Miracl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
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 |
---|---|
Jared Koen, MD 3655 Vista Ave, Suite 116, Saint Louis, MO 63110-2539 Ph: (314) 268-5499 | Jared Koen, MD 3655 Vista Ave, Suite 116, Saint Louis, MO 63110-2539 Ph: (314) 268-5499 |
Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189 | |
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092 | |
Dr. Kyle Anthony O'blanc, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 High Oak Rd, Saint Louis, MO 63131 Phone: 504-710-8234 | |
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485 | |
Chelsea Schmitt, Radiology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-2819 | |
Dr. James Edward Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Cindy Xin Zhang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Dept Of Radiology, Saint Louis, MO 63141 Phone: 314-251-6031 Fax: 314-251-6343 |