Joseph Duvall, MD | |
1755 S Grand, St Louis, MO 63104 | |
(314) 256-3433 | |
(214) 256-3431 |
Full Name | Joseph Duvall |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 50 Years |
Location | 1755 S Grand, 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 |
---|---|---|---|
1588775241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | R6127 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Hospitals East Communities | 1658276811 | 91 |
Vitalskin Medical Group Il Pllc | 5991116261 | 57 |
Entity Name | Mercy Hospitals East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
Entity Name | Joseph M Duvall Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053414227 PECOS PAC ID: 3274621339 Enrollment ID: O20071127000107 |
Entity Name | Vitalskin Medical Group Il Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063030252 PECOS PAC ID: 5991116261 Enrollment ID: O20211022002146 |
Mailing Address | Practice Location Address |
---|---|
Joseph Duvall, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | Joseph Duvall, MD 1755 S Grand, St Louis, MO 63104 Ph: (314) 256-3433 |
Lester Thomas Reese, MD Dermatology Medicare: Medicare Enrolled Practice Location: 522 North New Ballas Road, Suite 316, St Louis, MO 63141 Phone: 314-567-5873 Fax: 314-567-4040 | |
Madhavi Kandula, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 845 North New Ballas Court, Suite 310, St Louis, MO 63141 Phone: 314-692-0221 Fax: 314-692-0686 | |
Natalie L Semchyshyn, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1755 S Grand, St Louis, MO 63104 Phone: 314-256-3400 | |
Stacy Beaty, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1755 S Grand, St Louis, MO 63104 Phone: 314-256-3433 Fax: 314-256-3431 | |
Ms. Madeliene Elaine Gainers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 S. Euclid Avenue, Washington Univ Med Ctr/div Of Dermatology, St Louis, MO 63110 Phone: 314-454-8622 Fax: 314-454-5928 |