Jie Ren, | |
615 S New Ballas Rd, Saint Louis, MO 63141-8221 | |
(314) 251-6000 | |
Not Available |
Full Name | Jie Ren |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 615 S New Ballas Rd, 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 |
---|---|---|---|
1730390337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2005016642 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital Fontana/ontario | Fontana, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Jie Ren, 1251 Richland Meadows Dr, Ballwin, MO 63021-4435 Ph: (636) 386-8016 | Jie Ren, 615 S New Ballas Rd, Saint Louis, MO 63141-8221 Ph: (314) 251-6000 |
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