Jeremy Earle Leidenfrost, MD | |
222 S Woods Mill Rd, #550n, Chesterfield, MO 63017-3625 | |
(314) 434-3049 | |
Not Available |
Full Name | Jeremy Earle Leidenfrost |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 17 Years |
Location | 222 S Woods Mill Rd, Chesterfield, 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 |
---|---|---|---|
1275739872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2007016635 (Missouri) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2012032509 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Home Health Services | Chesterfield, MO | Home health agency |
St Lukes Hospital | Chesterfield, MO | Hospital |
Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
Phelps County Regional Medical Center | Rolla, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cardiothoracic Surgery, Llc | 1254365281 | 5 |
Entity Name | Cardiothoracic Surgery, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104895812 PECOS PAC ID: 1254365281 Enrollment ID: O20050920000661 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Earle Leidenfrost, MD 222 S Woods Mill Rd, #550n, Chesterfield, MO 63017-3625 Ph: (314) 434-3049 | Jeremy Earle Leidenfrost, MD 222 S Woods Mill Rd, #550n, Chesterfield, MO 63017-3625 Ph: (314) 434-3049 |
Ronald D Leidenfrost, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-205-6916 | |
Cordie C Coordes, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-205-6916 | |
Michael Ryan Reidy, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd Ste 550n, Chesterfield, MO 63017 Phone: 314-434-3049 Fax: 314-590-5939 | |
Victor H Ruiz, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 224 S Woods Mill Rd, Suite 450s, Chesterfield, MO 63017 Phone: 314-434-2454 Fax: 314-576-8176 |