Jeffrey Edward Desmidt, | |
3635 Vista Ave, St Louis University Hospital, Saint Louis, MO 63110-2539 | |
(314) 268-7133 | |
Not Available |
Full Name | Jeffrey Edward Desmidt |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3635 Vista Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689056111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2015016412 (Missouri) | Primary |
Entity Name | Fenton Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770832792 PECOS PAC ID: 4789837923 Enrollment ID: O20130121000081 |
Mailing Address | Practice Location Address |
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Jeffrey Edward Desmidt, 1402 S Grand Blvd Rm M260, St Louis University School Of Medicine, Saint Louis, MO 63104-1004 Ph: (314) 977-9852 | Jeffrey Edward Desmidt, 3635 Vista Ave, St Louis University Hospital, Saint Louis, MO 63110-2539 Ph: (314) 268-7133 |
Sean Oliver Cavanaugh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110 Phone: 314-362-9177 | |
John Verhey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Dr. Mackenzie Ann Mcknight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Nagla Abdelmalek, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136 Phone: 314-653-5663 | |
Dr. Jose I Alvarez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6150 Oakland Ave, Saint Louis, MO 63139 Phone: 314-768-3090 Fax: 314-768-3031 | |
Addie Burtle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Rahul Gupta, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1906 |