John Morris Bedwinek, MD | |
400 Medical Plz Ste 100, Lake St Louis, MO 63367-1493 | |
(636) 695-2316 | |
(636) 639-8676 |
Full Name | John Morris Bedwinek |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 54 Years |
Location | 400 Medical Plz Ste 100, Lake St 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 |
---|---|---|---|
1952367740 | NPI | - | NPPES |
201801628 | Medicaid | MO | |
49795 | Other | GHP | |
4119583 | Other | AETNA | |
107975 | Other | MO | BCBS |
2409021 | Other | UHC | |
900001981 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | R8484 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
John Morris Bedwinek, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | John Morris Bedwinek, MD 400 Medical Plz Ste 100, Lake St Louis, MO 63367-1493 Ph: (636) 695-2316 |
Aurora Gonzalez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plaza, Lake St Louis, MO 63367 Phone: 636-625-5303 Fax: 636-625-5403 | |
David L Pohl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 | |
Yu Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 100, Lake St Louis, MO 63367 Phone: 636-638-8600 | |
Edward Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5303 |