Jason Ross Rudman, | |
3009 N Ballas Rd Ste 380c, Saint Louis, MO 63131 | |
(314) 996-4790 | |
(314) 996-4792 |
Full Name | Jason Ross Rudman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 10 Years |
Location | 3009 N Ballas Rd Ste 380c, 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 |
---|---|---|---|
1487072229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2019016866 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Missouri Baptist Sullivan Hospital | Sullivan, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Groups Lc | 3072421254 | 427 |
Entity Name | Physician Groups Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Mailing Address | Practice Location Address |
---|---|
Jason Ross Rudman, 3009 N Ballas Rd Ste 380c, Saint Louis, MO 63131-2324 Ph: (314) 996-4790 | Jason Ross Rudman, 3009 N Ballas Rd Ste 380c, Saint Louis, MO 63131 Ph: (314) 996-4790 |
Mark F Stroble, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 12399 Gravois Rd, Ste 120, Saint Louis, MO 63127 Phone: 314-843-3828 Fax: 314-843-3052 | |
Arya W Namin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141 Phone: 314-251-6394 Fax: 314-251-4235 | |
Dr. Ethan Craig, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141 Phone: 314-251-6394 | |
Dr. Richard A Chole, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110 Phone: 314-454-6162 Fax: 314-454-2174 | |
Dr. Timothy J Reichert, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, Suite 622a, Saint Louis, MO 63141 Phone: 314-872-8340 Fax: 314-872-8399 | |
Dr. Karolina Agata Plonowska-hirschfeld, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110 Phone: 314-362-7509 Fax: 314-362-7522 | |
Dr. Cameron Connelly Wick, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110 Phone: 314-362-7509 Fax: 314-362-7522 |